Provider Demographics
NPI:1609810845
Name:MCGARVEY, CURTIS J (RPH FASCP)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:J
Last Name:MCGARVEY
Suffix:
Gender:M
Credentials:RPH FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 AUGSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-7009
Mailing Address - Country:US
Mailing Address - Phone:701-224-1463
Mailing Address - Fax:
Practice Address - Street 1:1016 N. 28TH ST.
Practice Address - Street 2:PROFESSIONAL PHARMACY INC.
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501
Practice Address - Country:US
Practice Address - Phone:701-223-6854
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4416OtherPHARMACY LICENSE