Provider Demographics
NPI:1336829563
Name:TOTAL HEALTH CARE PHARMACY
Entity Type:Organization
Organization Name:TOTAL HEALTH CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:567-289-6734
Mailing Address - Street 1:825 S CABLE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3400
Mailing Address - Country:US
Mailing Address - Phone:567-289-6734
Mailing Address - Fax:567-289-6751
Practice Address - Street 1:825 S CABLE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-3400
Practice Address - Country:US
Practice Address - Phone:567-289-6734
Practice Address - Fax:567-289-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy