Provider Demographics
NPI:1275835423
Name:LONGMATE, JAMES RICHARD (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:RICHARD
Last Name:LONGMATE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N CALLOW AVE
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-3807
Mailing Address - Country:US
Mailing Address - Phone:360-792-9262
Mailing Address - Fax:360-792-0481
Practice Address - Street 1:900 N CALLOW AVE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-3807
Practice Address - Country:US
Practice Address - Phone:360-792-9262
Practice Address - Fax:360-792-0481
Is Sole Proprietor?:No
Enumeration Date:2010-11-20
Last Update Date:2010-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010437183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist