Provider Demographics
NPI:1326636556
Name:JAMES, SPENCER R JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:R
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10144 ARBOR RUN DR UNIT 113
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3569
Mailing Address - Country:US
Mailing Address - Phone:813-361-2994
Mailing Address - Fax:
Practice Address - Street 1:10144 ARBOR RUN DR UNIT 113
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3569
Practice Address - Country:US
Practice Address - Phone:813-361-2994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist