Provider Demographics
NPI:1699042689
Name:CURTIS, GEORGE FRANCIS II (PHARMD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:FRANCIS
Last Name:CURTIS
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 BLOOMFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472
Mailing Address - Country:US
Mailing Address - Phone:707-823-0848
Mailing Address - Fax:707-823-0848
Practice Address - Street 1:1474 BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-5511
Practice Address - Country:US
Practice Address - Phone:707-823-0848
Practice Address - Fax:707-823-0848
Is Sole Proprietor?:No
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH319191835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist