Healthcare Provider Details
I. General information
NPI: 1124117817
Provider Name (Legal Business Name): CURASCRIPT INFUSION PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2464 FORTUNE DR STE 170
LEXINGTON KY
40509-4260
US
IV. Provider business mailing address
2464 FORTUNE DR STE 170
LEXINGTON KY
40509-4260
US
V. Phone/Fax
- Phone: 859-252-5939
- Fax: 859-252-5421
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | PO6624 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
HOWARD
Title or Position: VP
Credential:
Phone: 407-852-4920