Provider Demographics
NPI:1255608832
Name:CURULEWSKI, TIFFANY KENNEDY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:KENNEDY
Last Name:CURULEWSKI
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 1:2785 DUBLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1360
Mailing Address - Country:US
Mailing Address - Phone:719-593-8940
Mailing Address - Fax:
Practice Address - Street 1:2785 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1360
Practice Address - Country:US
Practice Address - Phone:719-593-8940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-25
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19284183500000X
IL051294965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist