Provider Demographics
NPI:1316548415
Name:TCG INTERESTS, LLC
Entity type:Organization
Organization Name:TCG INTERESTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF QUALITY AND COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-642-1825
Mailing Address - Street 1:2800 CLEVELAND AVE N
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1126
Mailing Address - Country:US
Mailing Address - Phone:651-642-1825
Mailing Address - Fax:651-638-0680
Practice Address - Street 1:9349 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2516
Practice Address - Country:US
Practice Address - Phone:713-383-2100
Practice Address - Fax:713-383-2113
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TCG INTERESTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy