Provider Demographics
NPI:1639931215
Name:WALZ, CURRIN LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CURRIN
Middle Name:LEE
Last Name:WALZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CURRIN
Other - Middle Name:LEE
Other - Last Name:BUCHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 LOWER WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2747
Mailing Address - Country:US
Mailing Address - Phone:413-315-4100
Mailing Address - Fax:413-315-4064
Practice Address - Street 1:45 LOWER WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2747
Practice Address - Country:US
Practice Address - Phone:413-315-4100
Practice Address - Fax:413-315-4064
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist