MEDICARE: KURE 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	3336C0003X	Community/Retail Pharmacy

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

General Provider Information

NPI Number	:	1811418940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KURE RX INC

Provider Business Mailing Address
First Line	:	27 BEECHER LN
Second Line	:
City	:	ROCKY HILL
State	:	CT
Zip	:	06067-3239
Country	:	US
Telephone Number	:	860-655-1988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1156 ALBANY AVE
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06112-2393
Country	:	US
Telephone Number	:	860-206-3890
Fax Number	:	860-906-1428

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. ANTHONY AJEGBA
Credential	:	RPH
Telephone Number	:	860-655-1988

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	02/01/2018

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Directions to “KURE RX INC ” Practice Location

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