Provider Demographics
NPI:1700206265
Name:VALLEE, JAMES SCOTT (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SCOTT
Last Name:VALLEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:J.
Other - Middle Name:SCOTT
Other - Last Name:VALLEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2803 HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1936
Mailing Address - Country:US
Mailing Address - Phone:985-626-0234
Mailing Address - Fax:985-626-0227
Practice Address - Street 1:2803 HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1936
Practice Address - Country:US
Practice Address - Phone:985-626-0234
Practice Address - Fax:985-626-0227
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist