Organization
FIRST LONE STAR PHARMACY GROUP II
Active
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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