Healthcare Provider Details

I. General information

NPI: 1043719438
Provider Name (Legal Business Name): INVERNESS APOTHECARY - TRINITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24333 GORDON TERRY PARKWAY SUITE B
TRINITY AL
35673-5380
US

IV. Provider business mailing address

24333 GORDON TERRY PARKWAY SUITE B
TRINITY AL
35673-5380
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SIMPSON
Title or Position: CEO/MEMBER
Credential:
Phone: 256-260-3350