Healthcare Provider Details

I. General information

NPI: 1396422994
Provider Name (Legal Business Name): CURATIVE PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 MANANA DR STE 102
DALLAS TX
75220-1237
US

IV. Provider business mailing address

2526 MANANA DR STE 102
DALLAS TX
75220-1237
US

V. Phone/Fax

Practice location:
  • Phone: 855-543-3124
  • Fax:
Mailing address:
  • Phone: 855-543-3124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. PHU TRINH
Title or Position: DIRECTOR OF PHARMACY OPERATIONS
Credential: PHARMD
Phone: 833-428-7284