MEDICARE: CURTIS STRUM

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	1-15403	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-15403	OTHER	KS	KANSAS BOARD OF PHARMACY

General Provider Information

NPI Number	:	1578948204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS STRUM

Provider Business Mailing Address
First Line	:	3504 CLINTON PKWY
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2145
Country	:	US
Telephone Number	:	785-832-0110
Fax Number	:	785-832-0516

Provider Business Practice Location Address
First Line	:	3504 CLINTON PKWY
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2145
Country	:	US
Telephone Number	:	785-832-0110
Fax Number	:	785-832-0516

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

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	07/23/2015

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Directions to “ CURTIS STRUM ” Practice Location

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