Provider Demographics
NPI:1871840595
Name:ORCHARD, CURTIS RAYMOND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:RAYMOND
Last Name:ORCHARD
Suffix:
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 1:2723 TERRACE DR
Mailing Address - Street 2:APT. 2
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-5979
Mailing Address - Country:US
Mailing Address - Phone:262-366-7066
Mailing Address - Fax:
Practice Address - Street 1:111 W RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-4233
Practice Address - Country:US
Practice Address - Phone:319-433-0490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist