Trillium Pharmacy

LBN: Trillium Health Care Inc
Trillium Pharmacy is an health care organization with primary practice located at 239 S Juniper St , Escondido CA 92025-4220. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Trillium Health Care Inc can be contacted via phone (760) 480-4080, or through Botros, Mina via phone (818) 919-9723.

Contact Information

Primary practice address
239 S Juniper St Escondido CA 92025-4220
Phone: (760) 480-4080
Fax: (760) 480-4081
Website:
Map and Directions
Authorized official contact:
Name: Botros, Mina
Phone: (818) 919-9723

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51813 California
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1790100642
LBN Legal business name Trillium Health Care Inc
DBA Doing business as Trillium Pharmacy
Authorized official Botros, Mina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2014
Last updated Jul 19th, 2018 - about 6 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 1790100642 NPPES
California MEDICAID 1790100642
California Other 2144543

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