Provider Demographics
NPI:1164459251
Name:COYLE, JAMES D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:COYLE
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 1:2446 WIMBLEDON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4210
Mailing Address - Country:US
Mailing Address - Phone:614-538-9244
Mailing Address - Fax:
Practice Address - Street 1:2231 N HIGH ST
Practice Address - Street 2:RARDIN FAMILY PRACTICE CENTER, RM 244
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-4153
Practice Address - Country:US
Practice Address - Phone:614-293-2877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-13400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist