Healthcare Provider Details

I. General information

NPI: 1851057160
Provider Name (Legal Business Name): CAROLINE LOUISE TRIMNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 UNION BLVD
ENGLEWOOD OH
45322-2221
US

IV. Provider business mailing address

900 UNION BLVD
ENGLEWOOD OH
45322-2221
US

V. Phone/Fax

Practice location:
  • Phone: 937-836-5204
  • Fax:
Mailing address:
  • Phone: 937-836-5204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number09201287
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: