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Organization
TRINITY MEDICAL PHARMACY
Active
Organization
TRINITY MEDICAL PHARMACY
Active
Other names
TRINITY MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRUTIKA PATEL RPH, HONS (CEO & PRESIDENT)
(727) 495-6979
Entity
Organization
Contact information
Practice address
9332 STATE ROAD 54 STE 203, NEW PORT RICHEY, FL 34655-1810
(727) 495-6979
(727) 213-6979
Mailing address
9332 STATE ROAD 54 STE 203, NEW PORT RICHEY, FL 34655-1810
(727) 495-6979
(727) 213-6979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH25693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004633300
—
FL
01
—
2133556
PK
—
Enumeration date
12/20/2011
Last updated
04/02/2015
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