Provider Demographics
NPI:1689964561
Name:FILLION, JAMES R (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:FILLION
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 1:340 FLANDERS RD
Mailing Address - Street 2:
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1710
Mailing Address - Country:US
Mailing Address - Phone:860-739-9007
Mailing Address - Fax:860-739-7880
Practice Address - Street 1:340 FLANDERS RD
Practice Address - Street 2:
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1710
Practice Address - Country:US
Practice Address - Phone:860-739-9007
Practice Address - Fax:860-739-7880
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist