Provider Demographics
NPI:1144598483
Name:BATSON, JAMES LOUIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LOUIS
Last Name:BATSON
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 1:3515 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-5621
Mailing Address - Country:US
Mailing Address - Phone:901-458-1611
Mailing Address - Fax:901-458-1370
Practice Address - Street 1:3515 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-5621
Practice Address - Country:US
Practice Address - Phone:901-458-1611
Practice Address - Fax:901-458-1370
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000033768183500000X
MSE-010598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist