Provider Demographics
NPI:1275811218
Name:TRINITY PHARMACY LLC
Entity Type:Organization
Organization Name:TRINITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTH MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PUNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-380-9232
Mailing Address - Street 1:396 E BURWELL ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-4329
Mailing Address - Country:US
Mailing Address - Phone:540-444-7383
Mailing Address - Fax:
Practice Address - Street 1:396 E BURWELL ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4329
Practice Address - Country:US
Practice Address - Phone:540-444-7383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201004398333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy