Organization
FIRST LONE STAR PHARMACY GROUP II
Active
Other names
TRINITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LIPE (MANAGING PARTNER)
(214) 521-9991
Entity
Organization
Contact information
Practice address
1925 E ROSEMEADE PKWY, CARROLLTON, TX 75007-2438
(972) 492-4411
(972) 492-4122
Mailing address
6901 PRESTON RD, DALLAS, TX 75205-1136
(214) 521-9991
(214) 521-1649
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27972
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132818
PK
—
Enumeration date
04/23/2007
Last updated
10/08/2020
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