Provider Demographics
NPI:1568112852
Name:JAMES, LINDA ANN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 MEISNER RD
Mailing Address - Street 2:
Mailing Address - City:EAST CHINA
Mailing Address - State:MI
Mailing Address - Zip Code:48054-4134
Mailing Address - Country:US
Mailing Address - Phone:810-580-9980
Mailing Address - Fax:
Practice Address - Street 1:402 POINTE TREMBLE RD
Practice Address - Street 2:
Practice Address - City:ALGONAC
Practice Address - State:MI
Practice Address - Zip Code:48001-1805
Practice Address - Country:US
Practice Address - Phone:810-794-4985
Practice Address - Fax:810-794-3111
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist