Provider Demographics
NPI:1942416623
Name:CURRIES FAMILY CARE PHARMACY OF AMORY, LLC
Entity Type:Organization
Organization Name:CURRIES FAMILY CARE PHARMACY OF AMORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-257-1212
Mailing Address - Street 1:702 EARL FRYE BLVD
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-9403
Mailing Address - Country:US
Mailing Address - Phone:662-257-1212
Mailing Address - Fax:662-257-1207
Practice Address - Street 1:702 EARL FRYE BLVD
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-9403
Practice Address - Country:US
Practice Address - Phone:662-257-1212
Practice Address - Fax:662-257-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS04434353332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04434353Medicaid
5232350002Medicare NSC