Provider Demographics
NPI:1194856880
Name:VICKERY, JAMES HUNTER (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HUNTER
Last Name:VICKERY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3959 WELSH ROAD
Mailing Address - Street 2:STE 107
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2900
Mailing Address - Country:US
Mailing Address - Phone:215-348-9711
Mailing Address - Fax:215-348-9784
Practice Address - Street 1:50 KULP RD E
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3729
Practice Address - Country:US
Practice Address - Phone:215-348-9711
Practice Address - Fax:215-348-9784
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031377L183500000X
PARPI000001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist