Organization
EPPYS IV INC
Active
Other names
Trinity Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH WADE (PRESIDENT)
(304) 252-6332
Entity
Organization
Contact information
Practice address
327 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 746-7201
(304) 746-7204
Mailing address
327 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 746-7201
(304) 746-7204
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
MP0552431
WV
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154830651
—
WV
01
—
2172039
PK
—
Enumeration date
09/27/2017
Last updated
03/13/2025
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