Provider Demographics
NPI:1831481415
Name:CURWOOD PHARMACY LLC
Entity Type:Organization
Organization Name:CURWOOD PHARMACY LLC
Other - Org Name:CURWOOD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-885-0220
Mailing Address - Street 1:1492 N M 52
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-1235
Mailing Address - Country:US
Mailing Address - Phone:989-725-7160
Mailing Address - Fax:989-725-7162
Practice Address - Street 1:1492 N M 52
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-1235
Practice Address - Country:US
Practice Address - Phone:989-725-7160
Practice Address - Fax:989-725-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010095683336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2375562OtherNCPDP PROVIDER IDENTIFICATION NUMBER