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General NPI Number Information
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NPI Number | 1992211791
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Entity Type | Organization
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Legal Business Name | TRINITY COMPOUNDING EXPERTS LLC
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Dates
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Enumeration Date | 12/17/2017
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 6631 ORION DR STE 112
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City | FORT MYERS
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State | FL
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Zip | 33912-4333
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Country | US
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Telephone | 239-690-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 6631 ORION DR STE 112
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City | FORT MYERS
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State | FL
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Zip | 33912-4333
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Country | US
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Telephone | 239-690-7700
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. JOSEPH ANTHONY CATALANO
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Credential | RPH
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Telephone | 230-690-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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