Provider Demographics
NPI:1659036564
Name:CURRIE, SAMANTHA DEETER
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:DEETER
Last Name:CURRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SHORE CT APT 202
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5507
Mailing Address - Country:US
Mailing Address - Phone:561-317-8416
Mailing Address - Fax:
Practice Address - Street 1:135 SHORE CT APT 202
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5507
Practice Address - Country:US
Practice Address - Phone:561-317-8416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician