Healthcare Provider Details

I. General information

NPI: 1609810845
Provider Name (Legal Business Name): CURTIS J. MCGARVEY R.PH. FASCP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 N. 28TH ST. PROFESSIONAL PHARMACY INC.
BISMARCK ND
58501
US

IV. Provider business mailing address

726 AUGSBURG AVE
BISMARCK ND
58504-7009
US

V. Phone/Fax

Practice location:
  • Phone: 701-223-6854
  • Fax:
Mailing address:
  • Phone: 701-224-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4416
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: