NPI | 1881752905 |
---|---|
Doing Business As | TRILLIUM HEALTH PHARMACY |
Entity Type | Organization |
Authorized Contact | MARK JOSEPH MALAHOSKY Vice President, Pharmacy Services 585-210-4152 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026860) |
Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054.020552) |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 28780) | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NH NR1540) | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI PHN11353) | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA NP001017) | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RO00168800) | |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: NC 13442) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2019-05-06 |