Provider Demographics
NPI:1902453228
Name:TRIO PHARMACY
Entity Type:Organization
Organization Name:TRIO PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:P
Authorized Official - Last Name:NNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-298-8180
Mailing Address - Street 1:1570 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2755
Mailing Address - Country:US
Mailing Address - Phone:614-298-8180
Mailing Address - Fax:614-298-8184
Practice Address - Street 1:1570 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2755
Practice Address - Country:US
Practice Address - Phone:614-298-8180
Practice Address - Fax:614-298-8184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIO PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0091539Medicaid