Trinity Valley Pharmacy Llc
LBN: Trinity Valley Pharmacy, Llc
Trinity Valley Pharmacy Llc is an health care organization with primary practice located at 2001 Ne Foothill Blvd Ste F3 , Grants Pass OR 97526-7901. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Trinity Valley Pharmacy, Llc can be contacted via phone (541) 474-9437, or through Free, Clarissa Elaine via phone (541) 474-9437.
Contact Information
Primary practice address
2001 Ne Foothill Blvd Ste F3
Grants Pass OR 97526-7901
Phone: (541) 474-9437
Fax: (541) 955-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 001859 | Oregon |
Profile Details
| NPI number | 1639180201 |
|---|---|
| LBN Legal business name | Trinity Valley Pharmacy, Llc |
| DBA Doing business as | Trinity Valley Pharmacy Llc |
| Authorized official | Free, Clarissa Elaine CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639180201 | NPPES |
| Oregon | MEDICAID | 226575 | |
| Oregon | Other | 2079118 |
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