Trivillians Pharmacy

LBN: Trivillians Pharmacy Of Kanawha City
Trivillians Pharmacy is an health care organization with primary practice located at 215 35Th St Se , Charleston WV 25304-1318. 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. Trivillians Pharmacy Of Kanawha City can be contacted via phone (304) 343-8621, or through Hotopp, John via phone (304) 343-0978.

Contact Information

Primary practice address
215 35Th St Se Charleston WV 25304-1318
Phone: (304) 343-8621
Fax: (304) 343-1015
Website:
Map and Directions
Authorized official contact:
Name: Hotopp, John
Phone: (304) 343-0978

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550711 West Virginia

Profile Details

NPI number 1548324676
LBN Legal business name Trivillians Pharmacy Of Kanawha City
DBA Doing business as Trivillians Pharmacy
Authorized official Hotopp, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 9th, 2015 - about 9 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 1548324676 NPPES
West Virginia MEDICAID 0142467000
West Virginia Other 2109364

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