Provider Demographics
NPI:1790090074
Name:CUROLE, TODD
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:CUROLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-1424
Mailing Address - Country:US
Mailing Address - Phone:985-868-9118
Mailing Address - Fax:985-868-0983
Practice Address - Street 1:5831 W PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-1424
Practice Address - Country:US
Practice Address - Phone:985-868-9118
Practice Address - Fax:985-868-0983
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist