Provider Demographics
NPI:1003963943
Name:GURLEY, TONY CURTIS (RPH, MS, JD)
Entity Type:Individual
Prefix:MR
First Name:TONY
Middle Name:CURTIS
Last Name:GURLEY
Suffix:
Gender:M
Credentials:RPH, MS, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 WOODBURN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1618
Mailing Address - Country:US
Mailing Address - Phone:919-215-0240
Mailing Address - Fax:
Practice Address - Street 1:229 WOODBURN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1618
Practice Address - Country:US
Practice Address - Phone:919-215-0240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist