Healthcare Provider Details

I. General information

NPI: 1134556764
Provider Name (Legal Business Name): PHYLLIS K. CURRY L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2013
Last Update Date: 09/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S. MAIN ST
ALBANY TX
76430
US

IV. Provider business mailing address

P.O. BOX 3116
ALBANY TX
76430
US

V. Phone/Fax

Practice location:
  • Phone: 325-762-3979
  • Fax: 325-762-3982
Mailing address:
  • Phone: 325-762-3979
  • Fax: 325-762-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. PHYLLIS KAY CURRY
Title or Position: OWNER
Credential: PTT
Phone: 325-762-3979