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General NPI Number Information
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NPI Number | 1275811218
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Entity Type | Organization
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Legal Business Name | TRINITY PHARMACY LLC
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 396 E BURWELL ST
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City | SALEM
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State | VA
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Zip | 24153-4329
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Country | US
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Telephone | 540-444-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 396 E BURWELL ST
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City | SALEM
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State | VA
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Zip | 24153-4329
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Country | US
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Telephone | 540-444-7383
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Fax |
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Authorized Official
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Title or Position | AUTH MEMBER
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Name | PUNITA KHARA
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Credential |
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Telephone | 908-380-9232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0201004398
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License Number State | VA
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