Tria Pharmacy LLC
Pharmacy, Long Term Care Pharmacy in Edina, MN. Organization (NPI-2).
NPI number1992577928
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1992577928
- Entity type
- Organization (NPI-2)
- Legal business name
- Tria Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2023
- Certification date
- Oct 21, 2023
- Last updated
- Oct 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Practice location
7687 Washinton Ave SEdina, MN 55439
Phone 952-836-5866
Mailing address
7687 Washinton Ave SEdina, MN 55439
Phone 952-836-5866
Authorized official
Ahmedfowz Mohamed Osman
Pharmacist/Owner
9528365866
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Long Term Care Pharmacy providers in Edina, MN
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