Provider Demographics
NPI:1487132742
Name:CURRYS FAMILY PHARMACY INC
Entity type:Organization
Organization Name:CURRYS FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:DRETTWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-629-7001
Mailing Address - Street 1:1275 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:IL
Mailing Address - Zip Code:62561-9739
Mailing Address - Country:US
Mailing Address - Phone:217-629-7001
Mailing Address - Fax:217-629-6344
Practice Address - Street 1:1275 N 7TH ST
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:IL
Practice Address - Zip Code:62561
Practice Address - Country:US
Practice Address - Phone:217-629-7001
Practice Address - Fax:217-629-6344
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CURRYS FAMILY PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-30
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054-0141223336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy