Provider Demographics
NPI:1104918929
Name:TRENTON DRUGS INC
Entity type:Organization
Organization Name:TRENTON DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:513-988-6383
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-0137
Mailing Address - Country:US
Mailing Address - Phone:513-988-6383
Mailing Address - Fax:513-988-6298
Practice Address - Street 1:825 W STATE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:OH
Practice Address - Zip Code:45067-0137
Practice Address - Country:US
Practice Address - Phone:513-988-6383
Practice Address - Fax:513-988-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0425016Medicaid
3637862OtherNABP
0326980001Medicare ID - Type Unspecified