Provider Demographics
NPI:1730469867
Name:CURRAN, BROOKE WALL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:WALL
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 EASTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3113
Mailing Address - Country:US
Mailing Address - Phone:336-881-1040
Mailing Address - Fax:336-885-1708
Practice Address - Street 1:1119 EASTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3113
Practice Address - Country:US
Practice Address - Phone:336-881-1040
Practice Address - Fax:336-885-1708
Is Sole Proprietor?:No
Enumeration Date:2011-08-20
Last Update Date:2011-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist