MEDICARE: THOMAS W CURRAN 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	051030775	IL

General Provider Information

NPI Number	:	1467617787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS W CURRAN RPH

Provider Business Mailing Address
First Line	:	303 ELM ST
Second Line	:
City	:	PROSPECT HTS
State	:	IL
Zip	:	60070-1455
Country	:	US
Telephone Number	:	847-394-4758
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 ELM ST
Second Line	:
City	:	PROSPECT HTS
State	:	IL
Zip	:	60070-1455
Country	:	US
Telephone Number	:	847-394-4758
Fax Number	:

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

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	07/25/2008

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