Provider Demographics
NPI:1225222821
Name:TONEY, WARREN ELLIS (RPH)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:ELLIS
Last Name:TONEY
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 1:3220 GRANGE HALL RD NE
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-8259
Mailing Address - Country:US
Mailing Address - Phone:812-734-0358
Mailing Address - Fax:
Practice Address - Street 1:815 HIGHLANDER POINT DR
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9470
Practice Address - Country:US
Practice Address - Phone:812-923-2577
Practice Address - Fax:812-923-2575
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26020285A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist