<Unavail>

LBN: Trinity Valley Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 2001 Ne Foothill Blvd Ste F3 , Grants Pass OR 97526-7901. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Trinity Valley Pharmacy, Llc can be contacted via phone (541) 474-9437, or through Free, Clarissa Elaine via phone (541) 474-9437.

Contact Information

Primary practice address
2001 Ne Foothill Blvd Ste F3 Grants Pass OR 97526-7901
Phone: (541) 474-9437
Fax: (541) 955-4575
Website:
Map and Directions
Authorized official contact:
Name: Free, Clarissa Elaine CPHT
Phone: (541) 474-9437

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 001859 Oregon

Profile Details

NPI number 1639180201
LBN Legal business name Trinity Valley Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Free, Clarissa Elaine CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 26th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639180201 NPPES
Oregon MEDICAID 226575
Oregon Other 2079118

Popular Providers