Provider Demographics
NPI:1366626491
Name:BARTHOLOMEW, JAMES PHILIP (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PHILIP
Last Name:BARTHOLOMEW
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 1:277 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:NY
Mailing Address - Zip Code:14414-1423
Mailing Address - Country:US
Mailing Address - Phone:585-226-4500
Mailing Address - Fax:585-226-6949
Practice Address - Street 1:277 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:NY
Practice Address - Zip Code:14414-1423
Practice Address - Country:US
Practice Address - Phone:585-226-4500
Practice Address - Fax:585-226-6949
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041348-1183500000X
VT183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist