Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TRINITY COMPOUNDING PHARMACY
Active
Organization
TRINITY COMPOUNDING PHARMACY
Active
Other names
BROADWAY APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE HARTHMAN (CHIEF CLINICAL OFFICER, PIC)
(541) 684-9352
Entity
Organization
Contact information
Practice address
1515 OAK ST, EUGENE, OR 97401-4790
(541) 684-9352
(541) 684-0858
Mailing address
1515 OAK ST, EUGENE, OR 97401-4790
(541) 684-9352
(541) 684-0858
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PMP-792
HI
3336C0003X
Community/Retail Pharmacy
RP-0001564
OR
3336C0004X
Compounding Pharmacy
Primary
PHAO1179
AK
3336C0004X
Compounding Pharmacy
PHNR.FO.60312318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581038
—
AK
01
—
2079479
PK
—
05
—
2096620
—
WA
05
—
227829
—
OR
Enumeration date
09/30/2006
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers