Provider Demographics
NPI:1407253966
Name:TRINITY DRUGS LLC
Entity Type:Organization
Organization Name:TRINITY DRUGS LLC
Other - Org Name:TRINITY FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-880-7821
Mailing Address - Street 1:11445 GARLAND RD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-2506
Mailing Address - Country:US
Mailing Address - Phone:214-774-9261
Mailing Address - Fax:214-774-9199
Practice Address - Street 1:11445 GARLAND RD
Practice Address - Street 2:SUITE #110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2506
Practice Address - Country:US
Practice Address - Phone:214-774-9261
Practice Address - Fax:214-774-9199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-28
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147040Medicaid