Provider Demographics
NPI:1073956884
Name:CURTIS, PRISCILLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:CURTIS
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 1:1152 COUNTESS CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2932
Mailing Address - Country:US
Mailing Address - Phone:205-907-8112
Mailing Address - Fax:
Practice Address - Street 1:1152 COUNTESS CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-2932
Practice Address - Country:US
Practice Address - Phone:205-907-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist