# MARSHALL CURTIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Villa Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588707160
- **Authorized official:** MARSHALL CURTIS RPH (PHARMACYOWNER)
- **Authorized official phone:** (706) 722-7255

## Contact information

- **Practice address:** 1520 LANEY WALKER BLVD, SUITE C, AUGUSTA, GA 30904-5868
- **Practice address phone:** (706) 722-7355
- **Practice address fax:** (706) 722-7357
- **Mailing address:** 1520 LANEY WALKER BLVD, SUITE C, AUGUSTA, GA 30904-5868
- **Mailing address phone:** (706) 722-7355
- **Mailing address fax:** (706) 722-7357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE006386 | GA | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 06/14/2012