Provider Demographics
NPI:1659454031
Name:CURRIE, CAROLYN S (RPH)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:S
Last Name:CURRIE
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 1:31836 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3893
Mailing Address - Country:US
Mailing Address - Phone:734-427-5104
Mailing Address - Fax:
Practice Address - Street 1:36567 GODDARD RD
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-1232
Practice Address - Country:US
Practice Address - Phone:734-941-0755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302028330OtherPHARMACIST LICENSE NUMBER