Provider Demographics
NPI:1518081900
Name:MAY, JAMES CHARLES (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHARLES
Last Name:MAY
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 1:2551 MARY ANN DR
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:MI
Mailing Address - Zip Code:49756-9256
Mailing Address - Country:US
Mailing Address - Phone:989-786-5243
Mailing Address - Fax:
Practice Address - Street 1:2855 SOUTH COUNTY RD 489
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:MI
Practice Address - Zip Code:49756-9256
Practice Address - Country:US
Practice Address - Phone:989-786-2239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist