Provider Demographics
NPI:1124764600
Name:CURA VITA, LLC
Entity type:Organization
Organization Name:CURA VITA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKPEMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-225-4300
Mailing Address - Street 1:PO BOX 6963
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-6963
Mailing Address - Country:US
Mailing Address - Phone:281-225-4300
Mailing Address - Fax:281-225-4301
Practice Address - Street 1:13176 W LAKE HOUSTON PKWY STE 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-5381
Practice Address - Country:US
Practice Address - Phone:281-225-4300
Practice Address - Fax:281-225-4301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-09
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy