MEDICARE: CURBIE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	200901830	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2605143	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1265525059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURBIE LLC

Provider Business Mailing Address
First Line	:	11 S ORANGE ST
Second Line	:
City	:	BUTLER
State	:	MO
Zip	:	64730-1805
Country	:	US
Telephone Number	:	660-679-4591
Fax Number	:	660-679-5350

Provider Business Practice Location Address
First Line	:	11 S ORANGE ST
Second Line	:
City	:	BUTLER
State	:	MO
Zip	:	64730-1805
Country	:	US
Telephone Number	:	660-679-4591
Fax Number	:	660-679-5350

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID ALAN STRAUCH
Credential	:
Telephone Number	:	660-679-4591

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	02/26/2010

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Directions to “CURBIE LLC ” Practice Location

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