Healthcare Provider Details

I. General information

NPI: 1366356065
Provider Name (Legal Business Name): MARK ANTHONY TROLINGER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N HIGHWAY 21
IRONTON MO
63650-9147
US

IV. Provider business mailing address

3518 HAWK HOLLOW RD
PARK HILLS MO
63601-8243
US

V. Phone/Fax

Practice location:
  • Phone: 573-546-6000
  • Fax: 573-546-6001
Mailing address:
  • Phone: 573-631-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0040603
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: