Provider Demographics
NPI:1659976223
Name:TRIOVA PHARMACEUTICALS, LLC
Entity Type:Organization
Organization Name:TRIOVA PHARMACEUTICALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:539-777-0720
Mailing Address - Street 1:115 W 3RD ST STE 720
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74103-3413
Mailing Address - Country:US
Mailing Address - Phone:539-777-0720
Mailing Address - Fax:539-777-2487
Practice Address - Street 1:115 W 3RD ST STE 720
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-3413
Practice Address - Country:US
Practice Address - Phone:539-777-0720
Practice Address - Fax:539-777-2487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site