MEDICARE: DR. TRIN C DO PHARM D

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	183500000X	Pharmacist	04769	RI

General Provider Information

NPI Number	:	1922381292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRIN C DO PHARM D

Provider Business Mailing Address
First Line	:	14 LYDIA AVE
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-3220
Country	:	US
Telephone Number	:	401-743-5308
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 MINERAL SPRING AVE
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-4104
Country	:	US
Telephone Number	:	401-725-6824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	09/23/2011

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