MEDICARE: TRUST PHARMACY 2 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	3336C0003X	Community/Retail Pharmacy	PH31342	FL

General Provider Information

NPI Number	:	1972093201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUST PHARMACY 2 LLC

Provider Business Mailing Address
First Line	:	9340 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9340 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3415
Country	:	US
Telephone Number	:	727-233-6400
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	MICHAEL SHAKER
Credential	:
Telephone Number	:	718-223-3464

Provider Enumeration Date	:	05/11/2018
Last Update Date	:	11/16/2022

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