=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083726095
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CURE RX LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 90 TROY ROAD SHOPPING CTR
-----------------------------------------------------
City | DELAWARE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43015-1061
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-369-4308
-----------------------------------------------------
Fax | 740-369-2254
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 90 TROY ROAD SHOPPING CTR
-----------------------------------------------------
City | DELAWARE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43015-1061
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SUBHASISH DAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-369-4308
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0002X
-----------------------------------------------------
Taxonomy Name | Clinic Pharmacy
-----------------------------------------------------
License Number | 021539550
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------