Provider Demographics
NPI:1174061501
Name:TRINITY PHARMACO-SOLUTIONS, LLC
Entity type:Organization
Organization Name:TRINITY PHARMACO-SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-379-6863
Mailing Address - Street 1:2893 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3664
Mailing Address - Country:US
Mailing Address - Phone:844-379-6863
Mailing Address - Fax:
Practice Address - Street 1:2893 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 305
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3664
Practice Address - Country:US
Practice Address - Phone:844-379-6863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization