| Doctor Name: | MR. MANNIE TRUJILLO |
| NPI Number: | 1033588066 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARM. D. |
| License Number: | 46176 |
| Business Practice Address: | 1000 Ne Sam Walton Ln Lees Summit, MO - 640868426 |
| Business Phone Number: | 2146730941 |
| Business Fax Number: | |
| Mailing Address: | 1000 Nw Sam Walton Ln., LEE'S SUMMIT |
| State: | MO |
| Postal Code: | 64086 |
| Phone Number: | 2146730941 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2015 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 46176 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |