Provider Demographics
NPI:1518042704
Name:EHL, JAMES FLOYD
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FLOYD
Last Name:EHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 380
Mailing Address - Street 2:42747 HWY 25
Mailing Address - City:VINCENT
Mailing Address - State:AL
Mailing Address - Zip Code:35178
Mailing Address - Country:US
Mailing Address - Phone:205-672-1955
Mailing Address - Fax:205-672-1954
Practice Address - Street 1:42747 HWY 25
Practice Address - Street 2:
Practice Address - City:VINCENT
Practice Address - State:AL
Practice Address - Zip Code:35178
Practice Address - Country:US
Practice Address - Phone:205-672-1955
Practice Address - Fax:205-672-1954
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7109AL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist