Provider Demographics
NPI:1154167096
Name:TRINITY HEALTH - MICHIGAN
Entity type:Organization
Organization Name:TRINITY HEALTH - MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER RETAIL PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:F
Authorized Official - Last Name:NAVARRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-712-7796
Mailing Address - Street 1:5333 MCAULEY DR RM 6106
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1005
Mailing Address - Country:US
Mailing Address - Phone:734-712-7796
Mailing Address - Fax:
Practice Address - Street 1:1065 N HURON RIVER DR STE 600
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-3296
Practice Address - Country:US
Practice Address - Phone:734-712-7796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy