Provider Demographics
NPI:1730806613
Name:THEARD, CURTIS WILLIS JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:WILLIS
Last Name:THEARD
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5849 PIERCE ST APT 202
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-5532
Mailing Address - Country:US
Mailing Address - Phone:618-406-6807
Mailing Address - Fax:
Practice Address - Street 1:8100 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2711
Practice Address - Country:US
Practice Address - Phone:303-248-7234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist