Provider Demographics
NPI:1841610276
Name:ADVENTIST HEALTH SYSTEMS SUNBELT HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:ADVENTIST HEALTH SYSTEMS SUNBELT HEALTHCARE CORPORATION
Other - Org Name:EXPEDIEN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YIELDING
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-357-2600
Mailing Address - Street 1:582 MONROE RD
Mailing Address - Street 2:SUITE 1412B
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8821
Mailing Address - Country:US
Mailing Address - Phone:407-357-2600
Mailing Address - Fax:407-805-8545
Practice Address - Street 1:582 MONROE RD
Practice Address - Street 2:SUITE 1412B
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8821
Practice Address - Country:US
Practice Address - Phone:866-943-4535
Practice Address - Fax:407-805-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 274123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy