Healthcare Provider Details

I. General information

NPI: 1316421100
Provider Name (Legal Business Name): KATHERINE CURTIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 11/04/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 UNIVERSITY BLVD STE 3005
INDIANAPOLIS IN
46202-5149
US

IV. Provider business mailing address

550 UNIVERSITY BLVD STE 3005
INDIANAPOLIS IN
46202-5149
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-2167
  • Fax:
Mailing address:
  • Phone: 317-944-2167
  • Fax: 317-944-2305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number26027176A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: