Provider Demographics
NPI:1982207502
Name:TRIAL, TREMAYNE CHRISTOPHER (PHARMD)
Entity Type:Individual
Prefix:
First Name:TREMAYNE
Middle Name:CHRISTOPHER
Last Name:TRIAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CODELLA DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-7117
Mailing Address - Country:US
Mailing Address - Phone:859-759-2102
Mailing Address - Fax:859-759-2104
Practice Address - Street 1:200 CODELLA DR STE C
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-7117
Practice Address - Country:US
Practice Address - Phone:859-759-2102
Practice Address - Fax:859-759-2104
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist