Provider Demographics
NPI:1073252334
Name:TRUENTITY CORPORATION
Entity Type:Organization
Organization Name:TRUENTITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-877-8872
Mailing Address - Street 1:10030 GREEN LEVEL CHURCH RD STE 802188
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8194
Mailing Address - Country:US
Mailing Address - Phone:617-877-8872
Mailing Address - Fax:
Practice Address - Street 1:10030 GREEN LEVEL CHURCH RD STE 802188
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8194
Practice Address - Country:US
Practice Address - Phone:617-877-8872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy