Provider Demographics
NPI:1235617648
Name:CURTIS DISCOUNT PHARMACY INC
Entity Type:Organization
Organization Name:CURTIS DISCOUNT PHARMACY INC
Other - Org Name:CURTIS DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:KREIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:308-537-7155
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-0159
Mailing Address - Country:US
Mailing Address - Phone:308-537-7155
Mailing Address - Fax:308-537-7366
Practice Address - Street 1:115 CENTER AVENUE
Practice Address - Street 2:
Practice Address - City:CURTIS
Practice Address - State:NE
Practice Address - Zip Code:69025-6902
Practice Address - Country:US
Practice Address - Phone:308-537-7155
Practice Address - Fax:308-537-7366
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOTHENBURG DISCOUNT PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-30
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy