Healthcare Provider Details

I. General information

NPI: 1457217465
Provider Name (Legal Business Name): SAMANTHA DESIRAE TREINISH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5210 BOX 230
APO AE
09461-5210
US

IV. Provider business mailing address

PSC 41 BOX 9287
APO AE
09464-0093
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-100816
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: