Provider Demographics
NPI:1417131806
Name:LAYNE, JAMES PAUL (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:LAYNE
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 1:712 TWIN BRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2468
Mailing Address - Country:US
Mailing Address - Phone:205-823-8621
Mailing Address - Fax:
Practice Address - Street 1:1009 MARTIN ST S
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2360
Practice Address - Country:US
Practice Address - Phone:205-884-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist