Provider Demographics
NPI:1295175412
Name:INVERNESS APOTHECARY - TRINITY LLC
Entity type:Organization
Organization Name:INVERNESS APOTHECARY - TRINITY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-420-1691
Mailing Address - Street 1:24333 GORDON TERRY PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:TRINITY
Mailing Address - State:AL
Mailing Address - Zip Code:35673
Mailing Address - Country:US
Mailing Address - Phone:256-260-3350
Mailing Address - Fax:256-260-3351
Practice Address - Street 1:24333 GORDON TERRY PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:TRINITY
Practice Address - State:AL
Practice Address - Zip Code:35673
Practice Address - Country:US
Practice Address - Phone:256-260-3350
Practice Address - Fax:256-260-3351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336H0001X, 251F00000X, 3336C0004X, 332B00000X
AL1141513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2140969OtherPK