Organization · Type 2 NPI

Trinity Valley Pharmacy, LLC

Long Term Care Pharmacy · Grants Pass, OR

NPI number 1639180201 Active

Practice location

2001 NE Foothill Blvd Ste F3
Grants Pass, OR 97526-7901

Fax (541) 955-4575

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	001859 (OR)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Nancy Elaine Hinke, RPHPharmacist Grants Pass, OR NPI 1013144765

Other long term care pharmacy providers in Grants Pass

See all in Grants Pass →

NPI record

NPI: 1639180201
Entity type: Organization (Type 2)
Issued: Aug 10, 2006
Last updated: Jan 26, 2021
Status: Active

Other names

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Trinity Valley Pharmacy LLC · doing business as
Trinity Valley Pharmacy LLC · doing business as

Authorized official

Clarissa Elaine Free, CPHT
Owner
(541) 474-9437

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639180201

Trinity Valley Pharmacy, LLC's National Provider Identifier is 1639180201, issued on Aug 10, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Grants Pass, OR. The record was last updated on Jan 26, 2021.