Provider Demographics
NPI:1083721096
Name:VON WALDNER, TRINA J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRINA
Middle Name:J
Last Name:VON WALDNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:250 WEST GREEN STREET
Mailing Address - Street 2:UGA COLLEGE OF PHAMACY
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30602-0001
Mailing Address - Country:US
Mailing Address - Phone:706-542-4539
Mailing Address - Fax:706-542-3912
Practice Address - Street 1:250 WEST GREEN STREET
Practice Address - Street 2:UGA COLLEGE OF PHAMACY
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30602-0001
Practice Address - Country:US
Practice Address - Phone:706-542-4539
Practice Address - Fax:706-542-3912
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA15239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist