Provider Demographics
NPI:1619080298
Name:CUMMINS, JAMES (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CUMMINS
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 1:1901 SOUTH 1ST ST
Mailing Address - Street 2:VA CENTRAL TEXAS VETERANS HEALTH CARE HOSPITAL
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-5779
Mailing Address - Country:US
Mailing Address - Phone:254-743-0676
Mailing Address - Fax:254-743-0020
Practice Address - Street 1:1901 SOUTH 1ST ST
Practice Address - Street 2:VA CENTRAL TEXAS VETERANS HEALTH CARE HOSPITAL
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-5779
Practice Address - Country:US
Practice Address - Phone:254-743-0676
Practice Address - Fax:254-743-0020
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist