Healthcare Provider Details

I. General information

NPI: 1457620486
Provider Name (Legal Business Name): CURERX INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5060 W SUNSET BLVD # C
LOS ANGELES CA
90027-5840
US

IV. Provider business mailing address

5060 W SUNSET BLVD #C
LOS ANGELES CA
90027-5840
US

V. Phone/Fax

Practice location:
  • Phone: 323-667-1111
  • Fax: 323-667-1131
Mailing address:
  • Phone: 323-667-1111
  • Fax: 323-667-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY50749
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HILDA ABRAMYAN
Title or Position: SHAREHOLDER
Credential: PHARM.D.
Phone: 323-667-1111