Provider Demographics
NPI:1407853906
Name:EASTER, JAMES KENNETH (RPH, MBA, FASCP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KENNETH
Last Name:EASTER
Suffix:
Gender:M
Credentials:RPH, MBA, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HAWTHORNE PL N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2807
Mailing Address - Country:US
Mailing Address - Phone:251-343-7898
Mailing Address - Fax:251-435-5145
Practice Address - Street 1:MOBILE INFIRMARY MEDICAL CENTER
Practice Address - Street 2:5 MOBILE INFIRMARY CIRCLE
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607
Practice Address - Country:US
Practice Address - Phone:251-435-4097
Practice Address - Fax:251-435-5145
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist