Healthcare Provider Details

I. General information

NPI: 1295175412
Provider Name (Legal Business Name): INVERNESS APOTHECARY - TRINITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 09/01/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24333 GORDON TERRY PARKWAY SUITE B
TRINITY AL
35673
US

IV. Provider business mailing address

24333 GORDON TERRY PARKWAY SUITE B
TRINITY AL
35673
US

V. Phone/Fax

Practice location:
  • Phone: 256-260-3350
  • Fax: 256-260-3351
Mailing address:
  • Phone: 256-260-3350
  • Fax: 256-260-3351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number114151
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SIMPSON
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 256-420-1691