Provider Demographics
NPI:1093935918
Name:MCMURTRY, JAMES LEON (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEON
Last Name:MCMURTRY
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 CHILDS AVE
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-3084
Mailing Address - Country:US
Mailing Address - Phone:707-465-5962
Mailing Address - Fax:707-464-3380
Practice Address - Street 1:740 CHILDS AVE
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-3084
Practice Address - Country:US
Practice Address - Phone:707-464-6114
Practice Address - Fax:707-464-3380
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26975183500000X
SD3357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist