Provider Demographics
NPI:1285858233
Name:SUNDERLAND, H. JAMES (RPH)
Entity Type:Individual
Prefix:
First Name:H.
Middle Name:JAMES
Last Name:SUNDERLAND
Suffix:
Gender:M
Credentials:RPH
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 1265
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-7265
Mailing Address - Country:US
Mailing Address - Phone:701-667-6845
Mailing Address - Fax:
Practice Address - Street 1:500 BURLINGTON ST SE
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-4281
Practice Address - Country:US
Practice Address - Phone:701-667-1843
Practice Address - Fax:701-667-4352
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist