Provider Demographics
NPI:1609270917
Name:LOTT, JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:LOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 N 10TH PL
Mailing Address - Street 2:APT 1126
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5570
Mailing Address - Country:US
Mailing Address - Phone:225-284-6870
Mailing Address - Fax:
Practice Address - Street 1:743 RAINIER AVE S
Practice Address - Street 2:WALMART PHARMACY
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:425-227-9307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH6030858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist