MEDICARE: MRS. KAREN DENISE CUREAUX RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15143	LA

General Provider Information

NPI Number	:	1619022589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN DENISE CUREAUX RPH

Provider Business Mailing Address
First Line	:	504 BOCAGE DR
Second Line	:
City	:	PEARL RIVER
State	:	LA
Zip	:	70452-3815
Country	:	US
Telephone Number	:	504-218-6449
Fax Number	:	985-781-9580

Provider Business Practice Location Address
First Line	:	118 VILLAGE ST
Second Line	:	SUITE D
City	:	SLIDELL
State	:	LA
Zip	:	70458-5302
Country	:	US
Telephone Number	:	985-781-6798
Fax Number	:	985-781-9580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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