Provider Demographics
NPI:1699320101
Name:KUTCH, TRINA (PHARMD)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:KUTCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TRINA
Other - Middle Name:
Other - Last Name:CORNMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:119 MONTEREED ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-1923
Mailing Address - Country:US
Mailing Address - Phone:724-859-9010
Mailing Address - Fax:
Practice Address - Street 1:105 GAMMA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2963
Practice Address - Country:US
Practice Address - Phone:419-449-0680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP44837183500000X
PARP448837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist