Provider Demographics
NPI:1972819662
Name:CURRY, MIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MIA
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1502
Mailing Address - Country:US
Mailing Address - Phone:502-458-2611
Mailing Address - Fax:502-458-9811
Practice Address - Street 1:4000 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1502
Practice Address - Country:US
Practice Address - Phone:502-458-2611
Practice Address - Fax:502-458-9811
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2016-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015046183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist