MEDICARE: CURASCRIPT INFUSION PHARMACY, INC.

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	3336H0001X	Home Infusion Therapy Pharmacy
2	333600000X	Pharmacy	3758	TN

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	4435752	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1487743175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURASCRIPT INFUSION PHARMACY, INC.

Provider Business Mailing Address
First Line	:	2175 BUSINESS CENTER DR
Second Line	:	STE 1 BLDG C
City	:	MEMPHIS
State	:	TN
Zip	:	38134-5628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2175 BUSINESS CENTER DR
Second Line	:	STE 1 BLDG C
City	:	MEMPHIS
State	:	TN
Zip	:	38134-5628
Country	:	US
Telephone Number	:	877-214-2663
Fax Number	:	901-396-5678

Authorized Official
Title or Position	:	VP AND COO
Name	:	DONALD HOWARD
Credential	:
Telephone Number	:	407-852-4920

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	10/31/2007

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