Provider Demographics
NPI:1619247798
Name:CURZAKE, JEANNE F (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:F
Last Name:CURZAKE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-7645
Mailing Address - Country:US
Mailing Address - Phone:401-789-0699
Mailing Address - Fax:
Practice Address - Street 1:258 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-7645
Practice Address - Country:US
Practice Address - Phone:401-789-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH03201183500000X
CTPCT.0011705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist