Provider Demographics
NPI:1760964886
Name:TRUCORE DISTRIBUTORS INC
Entity Type:Organization
Organization Name:TRUCORE DISTRIBUTORS INC
Other - Org Name:TRUMEDIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUCIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-663-5615
Mailing Address - Street 1:252 INDIAN HEAD RD
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-4818
Mailing Address - Country:US
Mailing Address - Phone:631-663-5615
Mailing Address - Fax:
Practice Address - Street 1:252 INDIAN HEAD RD
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-4818
Practice Address - Country:US
Practice Address - Phone:631-663-5615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies