Provider Demographics
NPI:1982921177
Name:BARRENTINE, TRISTA FINCH (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:TRISTA
Middle Name:FINCH
Last Name:BARRENTINE
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 1:1109 OLD COLLINS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-7701
Mailing Address - Country:US
Mailing Address - Phone:205-338-9344
Mailing Address - Fax:
Practice Address - Street 1:610 QUINTARD DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1840
Practice Address - Country:US
Practice Address - Phone:256-831-6116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist