Organization
TRINITY HEALTH PHARMACY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON REDDING PHARMD, MBA (VP AND CHIEF PHARMACY OFFICER)
(734) 343-7600
Entity
Organization
Contact information
Practice address
12279 BLUFFTON ROAD, FORT WAYNE, IN 46809
(407) 697-4277
Mailing address
12279 BLUFFTON ROAD, FORT WAYNE, IN 46809
(734) 343-7600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008107334
—
CT
01
—
0214002479
PHARMACY LICENSE
VA
01
—
0240000154
PHARMACY LICENSE
OH
01
—
036.0134601
PHARMACY LICENSE
VT
01
—
038275
PHARMACY LICENSE
NY
05
—
0391994
—
OH
01
—
054.021498
PHARMACY LICENSE
IL
05
—
103759236
—
PA
01
—
12766690-1708
PHARMACY LICENSE
UT
01
—
14929
PHARMACY LICENSE
NC
01
—
193819
PHARMACY LICENSE
AK
01
—
2021001793
PHARMACY LICENSE
MO
05
—
202190019
—
ID
01
—
2521-43
PHARMACY LICENSE
WI
01
—
266265
PHARMACY LICENSE
MN
01
—
28RO00224700
PHARMACY LICENSE
NJ
05
—
300033160
—
IN
01
—
400-2266
PHARMACY LICENSE
SD
01
—
5301012447
PHARMACY LICENSE
MI
01
—
58582MS
PHARMACY LICENSE
ID
01
—
60006758A
PHARMACY LICENSE
IN
01
—
A9-0012676
PHARMACY LICENSE
DE
01
—
IN2605
PHARMACY LICENSE
KY
01
—
MO0561538
PHARMACY LICENSE
WV
01
—
MO40003141
PHARMACY LICENSE
ME
01
—
NP001573
PHARMACY LICENSE
PA
01
—
NR-51935
PHARMACY LICENSE
WY
01
—
NR2270
PHARMACY LICENSE
NH
01
—
NR5450
PHARMACY LICENSE
IA
01
—
OSP.0007488
PHARMACY LICENSE
CO
01
—
PCN.0003825
PHARMACY LICENSE
CT
01
—
PH0005403
PHARMACY LICENSE
NM
01
—
PH33336
PHARMACY LICENSE
FL
01
—
PHA-MOP-LIC-84404
PHARMACY LICENSE
MT
01
—
PHAR1918
PHARMACY LICENSE
ND
01
—
PHNR001945
PHARMACY LICENSE
GA
01
—
PMP-1895
PHARMACY LICENSE
HI
01
—
PO8489
PHARMACY LICENSE
MD
01
—
RP-0003705
PHARMACY LICENSE
OR
05
—
VS0172399
—
MI
01
—
Y008405
PHARMACY LICENSE
AZ
Enumeration date
10/31/2019
Last updated
04/25/2022
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