Provider Demographics
NPI:1386788834
Name:WARREN, CURTIS MILNER (RPH)
Entity type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:MILNER
Last Name:WARREN
Suffix:
Gender:M
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:PO BOX 939
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32326-0939
Mailing Address - Country:US
Mailing Address - Phone:850-926-8451
Mailing Address - Fax:850-926-1170
Practice Address - Street 1:2629 CRAWFORDVILLE HWY
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-2169
Practice Address - Country:US
Practice Address - Phone:850-926-8451
Practice Address - Fax:850-926-1170
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0014663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist