Provider Demographics
NPI:1437575628
Name:JAMES, ANITA B (RPH)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:B
Last Name:JAMES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6452
Mailing Address - Country:US
Mailing Address - Phone:318-256-6378
Mailing Address - Fax:318-256-6443
Practice Address - Street 1:25800 HIGHWAY 171
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-6976
Practice Address - Country:US
Practice Address - Phone:318-256-6378
Practice Address - Fax:318-256-6443
Is Sole Proprietor?:No
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist