Provider Demographics
NPI:1104961762
Name:WARFORD, TRINA CURRY (RPH)
Entity type:Individual
Prefix:MRS
First Name:TRINA
Middle Name:CURRY
Last Name:WARFORD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:KY
Mailing Address - Zip Code:42459-1611
Mailing Address - Country:US
Mailing Address - Phone:270-333-5344
Mailing Address - Fax:270-333-4513
Practice Address - Street 1:424 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:KY
Practice Address - Zip Code:42459-1611
Practice Address - Country:US
Practice Address - Phone:270-333-5344
Practice Address - Fax:270-333-4513
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY011061OtherSTATE LICENSE