Provider Demographics
NPI:1053687889
Name:HAXBY, JAMES ARNOLD (PHD, RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ARNOLD
Last Name:HAXBY
Suffix:
Gender:M
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:ARNOLD
Other - Last Name:HAXBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24 WESTGATE PKWY
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3835
Mailing Address - Country:US
Mailing Address - Phone:828-253-2872
Mailing Address - Fax:828-236-2416
Practice Address - Street 1:24 WESTGATE PKWY
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3835
Practice Address - Country:US
Practice Address - Phone:828-253-2872
Practice Address - Fax:828-236-2416
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17444183500000X
OR8132183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist