Provider Demographics
NPI:1659689438
Name:CURRENCE, SAMUEL GENE JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:GENE
Last Name:CURRENCE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 TRAMWAY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2979
Mailing Address - Country:US
Mailing Address - Phone:505-292-5888
Mailing Address - Fax:
Practice Address - Street 1:4700 TRAMWAY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2979
Practice Address - Country:US
Practice Address - Phone:505-292-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist