Provider Demographics
NPI:1215208590
Name:CARUTHERS, JAMIE LEAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LEAH
Last Name:CARUTHERS
Suffix:
Gender:F
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:PO BOX 823
Mailing Address - Street 2:
Mailing Address - City:COLEMAN
Mailing Address - State:FL
Mailing Address - Zip Code:33521
Mailing Address - Country:US
Mailing Address - Phone:352-603-1690
Mailing Address - Fax:
Practice Address - Street 1:27440 US HWY 27
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748
Practice Address - Country:US
Practice Address - Phone:352-728-8083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 47842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist