Provider Demographics
NPI:1982768883
Name:CURRYS FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:CURRYS FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:217-629-7001
Mailing Address - Street 1:1275 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:IL
Mailing Address - Zip Code:62561-9739
Mailing Address - Country:US
Mailing Address - Phone:217-629-7001
Mailing Address - Fax:217-629-6344
Practice Address - Street 1:1275 N 7TH ST
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:IL
Practice Address - Zip Code:62561-9739
Practice Address - Country:US
Practice Address - Phone:217-629-7001
Practice Address - Fax:217-629-6344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540141223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1439858OtherNCDDP
IL=========001Medicaid
IL1299790001Medicare NSC