Provider Demographics
NPI:1669534145
Name:CURRIE'S FAMILY CARE PHARMACY OF AMORY, LLC
Entity type:Organization
Organization Name:CURRIE'S FAMILY CARE PHARMACY OF AMORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:CURRIE
Authorized Official - Last Name:BOUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-257-1212
Mailing Address - Street 1:702 EARL FRYE BLVD
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-9403
Mailing Address - Country:US
Mailing Address - Phone:662-257-1212
Mailing Address - Fax:662-257-1207
Practice Address - Street 1:702 EARL FRYE BLVD
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-9403
Practice Address - Country:US
Practice Address - Phone:662-257-1212
Practice Address - Fax:662-257-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS7463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01109717Medicaid
MS01109717Medicaid