Provider Demographics
NPI:1679213920
Name:TRIMBLE PHARMACIST GROUP LLC
Entity type:Organization
Organization Name:TRIMBLE PHARMACIST GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CRO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:859-585-1854
Mailing Address - Street 1:125 FOXGLOVE DR STE A
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9735
Mailing Address - Country:US
Mailing Address - Phone:859-585-1854
Mailing Address - Fax:
Practice Address - Street 1:124 US 42 WEST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:KY
Practice Address - Zip Code:40006
Practice Address - Country:US
Practice Address - Phone:502-801-9519
Practice Address - Fax:502-801-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy