Trident Pharmacy

LBN: Kingsley Okafor
Trident Pharmacy is an health care organization with primary practice located at 2307 4Th St Ste 102, Rosenberg TX 77471-5174. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kingsley Okafor can be contacted via phone (281) 238-8440, or through Okafor, Kingsley via phone (281) 238-8440.

Contact Information

Primary practice address
2307 4Th St Ste 102 Rosenberg TX 77471-5174
Phone: (281) 238-8440
Fax: (281) 238-8449
Website:
Map and Directions
Authorized official contact:
Name: Okafor, Kingsley
Phone: (281) 238-8440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 24330 Texas

Profile Details

NPI number 1265568679
LBN Legal business name Kingsley Okafor
DBA Doing business as Trident Pharmacy
Authorized official Okafor, Kingsley
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Feb 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265568679 NPPES
Other 4539106 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 145605 NCPDP PROVIDER IDENTIFICATION NUMBER

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