Healthcare Provider Details
I. General information
NPI: 1710992672
Provider Name (Legal Business Name): TRIHEALTH G LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2006
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 ANDERSON FERRY RD
CINCINNATI OH
45238-3325
US
IV. Provider business mailing address
2001 ANDERSON FERRY RD
CINCINNATI OH
45238-3325
US
V. Phone/Fax
- Phone: 513-922-1645
- Fax: 513-347-4403
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 021526400 |
| License Number State | OH |
VIII. Authorized Official
Name:
JOHN
REILLY
Title or Position: PHARMACY SUPERVISOR
Credential:
Phone: 513-347-4420