MEDICARE: TRINITY CARE PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1528896156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY CARE PHARMACY, LLC

Provider Business Mailing Address
First Line	:	1344 BADHAM DR
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-2909
Country	:	US
Telephone Number	:	205-602-7050
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 OXMOOR RD STE 136
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5937
Country	:	US
Telephone Number	:	205-894-4249
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	NOAH WILSON
Credential	:	PHARMD
Telephone Number	:	205-602-7050

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	07/15/2025

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