Organization
TRUST PHARMACY LLC
Active
Other names
trust pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAKER (PHARMACY MANAGER)
(718) 223-3464
Entity
Organization
Contact information
Practice address
36515 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(727) 781-7400
(727) 781-7433
Mailing address
36515 US 19 N, PALM HARBOR, FL 34684-1340
(727) 934-7468
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701570
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/02/2010
Last updated
11/16/2022
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