MEDICARE: CURTIS PHARMACY LONG TERM CARE SERVICES

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	3336L0003X	Long Term Care Pharmacy	PP415666L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3977759	OTHER	PA	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700940160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURTIS PHARMACY LONG TERM CARE SERVICES

Provider Business Mailing Address
First Line	:	1100 W CHESTNUT ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	724-223-7710
Fax Number	:	724-223-7712

Provider Business Practice Location Address
First Line	:	1100 W CHESTNUT ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	724-223-7710
Fax Number	:	724-223-7712

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. JOANN M SEIGEL
Credential	:	R.PH.
Telephone Number	:	724-223-7710

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	03/07/2023

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