Provider Demographics
NPI:1679790133
Name:VIEIRA, JAMES A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:VIEIRA
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 1:2 FUN FLIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1132
Mailing Address - Country:US
Mailing Address - Phone:978-975-5394
Mailing Address - Fax:978-258-1109
Practice Address - Street 1:2 FUN FLIGHT CIR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1132
Practice Address - Country:US
Practice Address - Phone:978-975-5394
Practice Address - Fax:978-258-1109
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist