Organization
TRINITY SPECIALTY PHARMACY LLC
Active
Other names
FLORIDA MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRUTIKA PATEL (CEO)
(813) 966-0177
Entity
Organization
Contact information
Practice address
13615 BRUCE B DOWNS BLVD STE 111, TAMPA, FL 33613-4607
(813) 966-0177
Mailing address
13615 BRUCE B DOWNS BLVD, SUITE 111, TAMPA, FL 33613-4607
(813) 966-0177
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143348
PK
—
Enumeration date
09/27/2013
Last updated
11/13/2014
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