Healthcare Provider Details

I. General information

NPI: 1609941467
Provider Name (Legal Business Name): T E E M TRADING COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MAIN ST
TOPEKA IN
46571-0157
US

IV. Provider business mailing address

PO BOX 157
TOPEKA IN
46571-0157
US

V. Phone/Fax

Practice location:
  • Phone: 260-593-2252
  • Fax: 260-593-2150
Mailing address:
  • Phone: 260-593-2252
  • Fax: 260-593-2150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number60003764
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TREVOR THAIN
Title or Position: OWNER PHARMACIST
Credential: PHARMD
Phone: 260-593-2252