MEDICARE: M. CURIE PHARMACY, LLC

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	48003	OTHER	TX	TEXAS BOARD OF PHARMACY
2	RP445585	OTHER	PA	PENNSYLVIA BOARD OF PHARMACY
3	RP3163	OTHER	HI	HAWAII BOARD OF PHARMACY

General Provider Information

NPI Number	:	1821570615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. CURIE PHARMACY, LLC

Provider Business Mailing Address
First Line	:	200 W WASHINGTON SQ APT 3609
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3538
Country	:	US
Telephone Number	:	915-203-5121
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W WASHINGTON SQ APT 3609
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3538
Country	:	US
Telephone Number	:	915-203-5121
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUZANNE GIYANANI
Credential	:	PHARMD
Telephone Number	:	915-203-5121

Provider Enumeration Date	:	08/29/2018
Last Update Date	:	08/29/2018

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