Provider Demographics
NPI:1386193357
Name:EFTINK, CURTIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:EFTINK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-9360
Mailing Address - Country:US
Mailing Address - Phone:573-471-6775
Mailing Address - Fax:
Practice Address - Street 1:1303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-9360
Practice Address - Country:US
Practice Address - Phone:573-471-6775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012027502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2012027502OtherBOARD OF PHARMACY LICENSE NUMBER