Provider Demographics
NPI:1609176692
Name:DEPUY, JAMES LLOYD JR (JAMES DEPUY)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LLOYD
Last Name:DEPUY
Suffix:JR
Gender:M
Credentials:JAMES DEPUY
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:LLOYD
Other - Last Name:DEPUY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JAMES DEPUY
Mailing Address - Street 1:117 MORRISSEY BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1540
Mailing Address - Country:US
Mailing Address - Phone:831-426-8911
Mailing Address - Fax:831-426-8746
Practice Address - Street 1:117 MORRISSEY BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-1540
Practice Address - Country:US
Practice Address - Phone:831-426-8911
Practice Address - Fax:831-426-8746
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist