Organization
TRINITY PHARMACY LLC
Active
Other names
Trinity Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HITESH UPADHYAY RPH (OWNER/PHARMACIST IN CHRG)
(234) 444-4736
Entity
Organization
Contact information
Practice address
17330 NORTHLAND PARK CT, STE 100 A, SOUTHFIELD, MI 48075-4318
(234) 444-4736
(234) 462-4169
Mailing address
46036 MICHIGAN AVE, #108, CANTON, MI 48188-2304
(734) 444-4736
(734) 468-4169
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53010009012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372338
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/20/2009
Last updated
10/28/2010
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