MEDICARE: CURTIS HARTIN RPH

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	183500000X	Pharmacist	22860	TX

General Provider Information

NPI Number	:	1396304572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS HARTIN RPH

Provider Business Mailing Address
First Line	:	27222 FULSHEAR BEND DR APT 1133
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-1197
Country	:	US
Telephone Number	:	864-430-0906
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 ENCLAVE PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2577
Country	:	US
Telephone Number	:	864-430-0906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	06/11/2019

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Directions to “ CURTIS HARTIN RPH” Practice Location

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