Provider Demographics
NPI:1043719438
Name:INVERNESS APOTHECARY - TRINITY LLC
Entity Type:Organization
Organization Name:INVERNESS APOTHECARY - TRINITY LLC
Other - Org Name:INVERNESS APOTHECARY TRINITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-260-3350
Mailing Address - Street 1:24333 GORDON TERRY PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:TRINITY
Mailing Address - State:AL
Mailing Address - Zip Code:35673-5380
Mailing Address - Country:US
Mailing Address - Phone:256-260-3350
Mailing Address - Fax:
Practice Address - Street 1:24333 GORDON TERRY PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:TRINITY
Practice Address - State:AL
Practice Address - Zip Code:35673-5380
Practice Address - Country:US
Practice Address - Phone:256-260-3350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy