Provider Demographics
NPI:1811153448
Name:TRINITY RX NO ONE INC
Entity type:Organization
Organization Name:TRINITY RX NO ONE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-348-6666
Mailing Address - Street 1:11324 SIR WINSTON ST
Mailing Address - Street 2:STE C
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2415
Mailing Address - Country:US
Mailing Address - Phone:210-348-6666
Mailing Address - Fax:210-348-6670
Practice Address - Street 1:11324 SIR WINSTON ST
Practice Address - Street 2:STE C
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2415
Practice Address - Country:US
Practice Address - Phone:210-348-6666
Practice Address - Fax:210-348-6670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4549068OtherNCPDP PROVIDER IDENTIFICATION NUMBER