Organization · Type 2 NPI
Trident Medical Group
Managed Care Organization Pharmacy · Atlanta, GA
NPI number
1124854922
Active
Practice location
888 Oakdale Rd NE
Atlanta, GA 30307-1210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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About NPI 1124854922
Trident Medical Group's National Provider Identifier is 1124854922, issued on Sep 10, 2024. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Atlanta, GA. The record was last updated on Sep 10, 2024.