Provider Demographics
NPI:1093796708
Name:ONE STOP HEALTHCARE DISEASE STATE
Entity Type:Organization
Organization Name:ONE STOP HEALTHCARE DISEASE STATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST - OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:682-518-8960
Mailing Address - Street 1:6905 STRATFORD TOWNES WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-2076
Mailing Address - Country:US
Mailing Address - Phone:817-903-6191
Mailing Address - Fax:
Practice Address - Street 1:6905 STRATFORD TOWNES WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-2076
Practice Address - Country:US
Practice Address - Phone:817-903-6191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty