Provider Demographics
NPI:1407043011
Name:PARKER, JAMES AULTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:AULTON
Last Name:PARKER
Suffix:
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:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-0517
Mailing Address - Country:US
Mailing Address - Phone:423-240-8333
Mailing Address - Fax:423-290-1606
Practice Address - Street 1:PO BOX 517
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347-0517
Practice Address - Country:US
Practice Address - Phone:423-240-8333
Practice Address - Fax:423-290-1606
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist