Provider Demographics
NPI:1669241907
Name:NEWMAN, TRISHA (PHARMD)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7714 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8932
Mailing Address - Country:US
Mailing Address - Phone:859-699-6692
Mailing Address - Fax:
Practice Address - Street 1:260 LOGISTICS AVE STE A
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-4672
Practice Address - Country:US
Practice Address - Phone:866-443-0060
Practice Address - Fax:800-644-1180
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024926A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist