Provider Demographics
NPI:1265813943
Name:TRINITY RX, CORP.
Entity type:Organization
Organization Name:TRINITY RX, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MORCOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:718-366-2109
Mailing Address - Street 1:7521 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7419
Mailing Address - Country:US
Mailing Address - Phone:718-366-2109
Mailing Address - Fax:718-366-2149
Practice Address - Street 1:7521 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7419
Practice Address - Country:US
Practice Address - Phone:718-366-2109
Practice Address - Fax:718-366-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033704333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy