Provider Demographics
NPI:1275255127
Name:JAMES, COURNEISHIA MICHELLE (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:COURNEISHIA
Middle Name:MICHELLE
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 E ADMIRAL DOYLE DR
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-6710
Mailing Address - Country:US
Mailing Address - Phone:337-367-7979
Mailing Address - Fax:337-367-9122
Practice Address - Street 1:1017 E ADMIRAL DOYLE DR
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-6710
Practice Address - Country:US
Practice Address - Phone:337-367-7979
Practice Address - Fax:337-367-9122
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.024522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist