Provider Demographics
NPI:1437140555
Name:SAIN, JAMES LESLIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LESLIE
Last Name:SAIN
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 1:509 JAMESON DR
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-9711
Mailing Address - Country:US
Mailing Address - Phone:864-269-5419
Mailing Address - Fax:
Practice Address - Street 1:1200 WOODRUFF RD
Practice Address - Street 2:SUITE C-28
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5730
Practice Address - Country:US
Practice Address - Phone:864-288-0816
Practice Address - Fax:864-288-2687
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4219829OtherNCPDP #
SC735732Medicaid