Trillium Health Pharmacy

LBN: Trillium Health, Inc.
Trillium Health Pharmacy is an health care organization with primary practice located at 259 Monroe Ave Lower Level, Rochester NY 14607-3632. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Trillium Health, Inc. can be contacted via phone (585) 241-9000, or through Malahosky, Mark Joseph via phone (585) 210-4152.

Contact Information

Primary practice address
259 Monroe Ave Lower Level Rochester NY 14607-3632
Phone: (585) 241-9000
Fax: (585) 454-2017
Website:
Map and Directions
Authorized official contact:
Name: Malahosky, Mark Joseph R. PH.
Phone: (585) 210-4152

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054.020552 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 28780 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X 026860 New York
Suppliers / Community/Retail Pharmacy 3336C0003X NR1540 New Hampshire
Suppliers / Community/Retail Pharmacy 3336C0003X PHN11353 Rhode Island
Suppliers / Community/Retail Pharmacy 3336C0003X NP001017 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X 28RO00168800 New Jersey
Suppliers / Specialty Pharmacy 3336S0011X 13442 North Carolina

Profile Details

NPI number 1881752905
LBN Legal business name Trillium Health, Inc.
DBA Doing business as Trillium Health Pharmacy
Authorized official Malahosky, Mark Joseph R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated May 6th, 2019 - about 5 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 1881752905 NPPES
New York MEDICAID 03007518
New York Other 2063512

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