Healthcare Provider Details

I. General information

NPI: 1831481415
Provider Name (Legal Business Name): CURWOOD PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1492 N M 52
OWOSSO MI
48867-1235
US

IV. Provider business mailing address

1492 N M 52
OWOSSO MI
48867-1235
US

V. Phone/Fax

Practice location:
  • Phone: 989-725-7160
  • Fax: 989-725-7162
Mailing address:
  • Phone: 989-725-7160
  • Fax: 989-725-7162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301009568
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ASHRAF
Title or Position: PHARMACY IN CHARGE
Credential:
Phone: 248-885-0220