Healthcare Provider Details

I. General information

NPI: 1689195877
Provider Name (Legal Business Name): JODI ELIZABETH CURRO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 S NATIONAL AVE STE 109
SPRINGFIELD MO
65804-4242
US

IV. Provider business mailing address

3050 S NATIONAL AVE STE 109
SPRINGFIELD MO
65804-4242
US

V. Phone/Fax

Practice location:
  • Phone: 417-881-8822
  • Fax: 417-888-0667
Mailing address:
  • Phone: 417-881-8822
  • Fax: 417-888-0667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2017020843
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: