Provider Demographics
NPI:1134556764
Name:PHYLLIS K. CURRY L.L.C.
Entity type:Organization
Organization Name:PHYLLIS K. CURRY L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:PTT
Authorized Official - Phone:325-762-3979
Mailing Address - Street 1:P.O. BOX 3116
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430
Mailing Address - Country:US
Mailing Address - Phone:325-762-3979
Mailing Address - Fax:325-762-3982
Practice Address - Street 1:104 S. MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:TX
Practice Address - Zip Code:76430
Practice Address - Country:US
Practice Address - Phone:325-762-3979
Practice Address - Fax:325-762-3982
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYLLIS K CURRY L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy