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Organization
TRINITY SPECIALTY PHARMACY LLC
Active
Organization
TRINITY SPECIALTY PHARMACY LLC
Active
Other names
TRINITY SPECIALITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY MORRIS PHD, RPH (OWNER)
(504) 723-2551
Entity
Organization
Contact information
Practice address
2800 GAUSE BLVD E, STE F, SLIDELL, LA 70461-4247
(985) 641-4252
(985) 641-5123
Mailing address
2800 GAUSE BLVD E, STE F, SLIDELL, LA 70461-4247
(985) 641-4252
(985) 641-5123
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005754-IR
LA
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1268992
—
LA
01
—
2035435
PK
—
Enumeration date
03/08/2007
Last updated
07/24/2013
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