Provider Demographics
NPI:1245217017
Name:EHRLEIN, JAMES B JR (BSPHARM, PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:EHRLEIN
Suffix:JR
Gender:M
Credentials:BSPHARM, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 DAFFODIL AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3702
Mailing Address - Country:US
Mailing Address - Phone:516-538-1207
Mailing Address - Fax:516-354-3790
Practice Address - Street 1:106 DAFFODIL AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3702
Practice Address - Country:US
Practice Address - Phone:516-538-1207
Practice Address - Fax:516-354-3790
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist