Basic Information
| Provider Information | |||||||||
| NPI: | 1386788834 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARREN | ||||||||
| FirstName: | CURTIS | ||||||||
| MiddleName: | MILNER | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R.PH. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 939 | ||||||||
| Address2: | |||||||||
| City: | CRAWFORDVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323260939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8509268451 | ||||||||
| FaxNumber: | 8509261170 | ||||||||
| Practice Location | |||||||||
| Address1: | 2629 CRAWFORDVILLE HWY | ||||||||
| Address2: | |||||||||
| City: | CRAWFORDVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323272169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8509268451 | ||||||||
| FaxNumber: | 8509261170 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PS0014663 | FL | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.