Provider Demographics
NPI:1164596433
Name:JAMES DRUG INC
Entity Type:Organization
Organization Name:JAMES DRUG INC
Other - Org Name:TRINITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-937-4710
Mailing Address - Street 1:100 WEST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-3710
Mailing Address - Country:US
Mailing Address - Phone:972-937-4710
Mailing Address - Fax:972-937-1002
Practice Address - Street 1:100 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-3710
Practice Address - Country:US
Practice Address - Phone:972-937-4710
Practice Address - Fax:972-937-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130748Medicaid
TX130748Medicaid