Provider Demographics
NPI:1477223816
Name:CALHOUN, JAMES EDWARD (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:CALHOUN
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 1:621 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SWEET HOME
Mailing Address - State:OR
Mailing Address - Zip Code:97386-3339
Mailing Address - Country:US
Mailing Address - Phone:541-367-6777
Mailing Address - Fax:541-367-6500
Practice Address - Street 1:621 MAIN ST
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-3339
Practice Address - Country:US
Practice Address - Phone:541-367-6777
Practice Address - Fax:541-367-6500
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-00081961835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist