Provider Demographics
NPI:1700047461
Name:JAMES, CHARZETTA HOSKINS (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:CHARZETTA
Middle Name:HOSKINS
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12603 ANGEL LAKE DR W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-7545
Mailing Address - Country:US
Mailing Address - Phone:904-308-8736
Mailing Address - Fax:904-308-2980
Practice Address - Street 1:12603 ANGEL LAKE DR W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-7545
Practice Address - Country:US
Practice Address - Phone:904-308-8736
Practice Address - Fax:904-308-2980
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 22094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist