MEDICARE: MICHAEL CURTIS PHARMACIST

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	0330002994	VT
2	183500000X	Pharmacist	RP045428R	PA

General Provider Information

NPI Number	:	1972853117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CURTIS PHARMACIST

Provider Business Mailing Address
First Line	:	4362 OVERHILL ST
Second Line	:
City	:	BETHEL PARK
State	:	PA
Zip	:	15102-1922
Country	:	US
Telephone Number	:	412-480-0480
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 W CHESTNUT ST
Second Line	:	SUITE 200
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	412-480-0480
Fax Number	:

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

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	09/14/2012

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