Provider Demographics
NPI:1033576608
Name:CURA VITA, LLC
Entity Type:Organization
Organization Name:CURA VITA, LLC
Other - Org Name:SUMMERWOOD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKPEMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-225-4300
Mailing Address - Street 1:PO BOX 6963
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-6963
Mailing Address - Country:US
Mailing Address - Phone:281-225-4300
Mailing Address - Fax:281-225-4301
Practice Address - Street 1:13176 W LAKE HOUSTON PKWY STE 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-5381
Practice Address - Country:US
Practice Address - Phone:281-225-4300
Practice Address - Fax:281-225-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX303893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149172Medicaid