Organization
TRIFECTA PHARMACY LLC
Active
Other names
Woodlands Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEEV YALAMANCHILI (OFFICER)
(409) 504-9910
Entity
Organization
Contact information
Practice address
9303 PINECROFT STE 300, THE WOODLANDS, TX 77380
(281) 446-2952
(281) 331-6109
Mailing address
9303 PINECROFT STE 300, THE WOODLANDS, TX 77380
(281) 446-2952
(281) 331-6109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175429
PK
—
Enumeration date
02/07/2018
Last updated
05/24/2021
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