Provider Demographics
NPI:1174253520
Name:CURATIVE PHARMACY LLC
Entity Type:Organization
Organization Name:CURATIVE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:PHU
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCACP, BCGP
Authorized Official - Phone:214-415-4706
Mailing Address - Street 1:2800 LONGHORN BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-7624
Mailing Address - Country:US
Mailing Address - Phone:214-415-4706
Mailing Address - Fax:
Practice Address - Street 1:2800 LONGHORN BLVD STE 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7624
Practice Address - Country:US
Practice Address - Phone:214-415-4706
Practice Address - Fax:833-246-0739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy