Provider Demographics
NPI:1275315509
Name:TRUSTED CARE PHARMACY
Entity type:Organization
Organization Name:TRUSTED CARE PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:CHISOM
Authorized Official - Middle Name:
Authorized Official - Last Name:UMEH
Authorized Official - Suffix:
Authorized Official - Credentials:PAHRMACIST
Authorized Official - Phone:725-202-3900
Mailing Address - Street 1:1632 W WARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4323
Mailing Address - Country:US
Mailing Address - Phone:725-202-3900
Mailing Address - Fax:725-202-2210
Practice Address - Street 1:1632 W WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4323
Practice Address - Country:US
Practice Address - Phone:725-202-3900
Practice Address - Fax:725-202-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy