Provider Demographics
NPI:1326019910
Name:TOCHTROP, TRENA DEWBERRY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TRENA
Middle Name:DEWBERRY
Last Name:TOCHTROP
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7394A SALEM DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-7622
Mailing Address - Country:US
Mailing Address - Phone:662-434-8419
Mailing Address - Fax:
Practice Address - Street 1:100 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39710-0001
Practice Address - Country:US
Practice Address - Phone:662-434-1101
Practice Address - Fax:662-434-2169
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist