Provider Demographics
NPI:1407991367
Name:MIDDLETON, JAMES HARRY (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HARRY
Last Name:MIDDLETON
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 1:110 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-4734
Mailing Address - Country:US
Mailing Address - Phone:269-967-1206
Mailing Address - Fax:
Practice Address - Street 1:201 ARCADIA BLVD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-9459
Practice Address - Country:US
Practice Address - Phone:269-963-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302023423OtherPHARMACIST LICENSE NUMBER