Provider Demographics
NPI:1881676229
Name:TRINITY RESPIRATORY PHARMCY LLP
Entity Type:Organization
Organization Name:TRINITY RESPIRATORY PHARMCY LLP
Other - Org Name:BOTH WORLDS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-451-5003
Mailing Address - Street 1:2183 W GREEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-5302
Mailing Address - Country:US
Mailing Address - Phone:817-451-5003
Mailing Address - Fax:817-451-5393
Practice Address - Street 1:2183 W GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-5302
Practice Address - Country:US
Practice Address - Phone:817-451-5003
Practice Address - Fax:817-451-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17660333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0629500001Medicare ID - Type UnspecifiedPROVIDER NUMBER