Provider Demographics
NPI:1134344385
Name:ANCAR, CURTIS DEAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:DEAN
Last Name:ANCAR
Suffix:
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 1:1991 MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2812
Mailing Address - Country:US
Mailing Address - Phone:510-339-2215
Mailing Address - Fax:510-339-3785
Practice Address - Street 1:1991 MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2812
Practice Address - Country:US
Practice Address - Phone:510-339-2215
Practice Address - Fax:510-339-3785
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH57345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist