MEDICARE: CURESHOPPE RX 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	333600000X	Pharmacy	26562	TX

General Provider Information

NPI Number	:	1497987127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURESHOPPE RX INC.

Provider Business Mailing Address
First Line	:	1622 FEDERAL RD
Second Line	:	SUITE # 1
City	:	HOUSTON
State	:	TX
Zip	:	77015-6727
Country	:	US
Telephone Number	:	713-451-8106
Fax Number	:	713-451-8101

Provider Business Practice Location Address
First Line	:	1622 FEDERAL RD
Second Line	:	SUITE # 1
City	:	HOUSTON
State	:	TX
Zip	:	77015-6727
Country	:	US
Telephone Number	:	713-451-8106
Fax Number	:	713-451-8101

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MS. FELISITA CORTEZ
Credential	:
Telephone Number	:	832-863-3900

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	08/13/2009

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Directions to “CURESHOPPE RX INC. ” Practice Location

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