Provider Demographics
NPI:1336131226
Name:MILLS, JAMES FLOYD (RPH, MBA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FLOYD
Last Name:MILLS
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BELLEBROOKE CT
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7343
Mailing Address - Country:US
Mailing Address - Phone:740-927-9126
Mailing Address - Fax:
Practice Address - Street 1:2150 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1257
Practice Address - Country:US
Practice Address - Phone:614-752-0150
Practice Address - Fax:614-752-0151
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-22011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist