Provider Demographics
NPI:1689902173
Name:TYNDALL, JAMES DAVID SR (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:TYNDALL
Suffix:SR
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 1:2001 NEUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-3454
Mailing Address - Country:US
Mailing Address - Phone:252-672-8365
Mailing Address - Fax:252-672-8368
Practice Address - Street 1:2001 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3454
Practice Address - Country:US
Practice Address - Phone:252-672-8365
Practice Address - Fax:252-672-8368
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist