Organization
TRELLES PHARMACY MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CLEAVER RICHARDSON RPH (OWNER/PRESIDENT)
(813) 662-1153
Entity
Organization
Contact information
Practice address
3501 RIGA BLVD, SUITE 300A, TAMPA, FL 33619-1333
(813) 662-1153
(813) 657-3475
Mailing address
P.O. BOX 89039-0400, TAMPA, FL 33689-9039
(813) 662-1153
(813) 657-3475
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH15867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083055
NCPDP
FL
Enumeration date
07/26/2005
Last updated
08/22/2020
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