Provider Demographics
NPI:1851794267
Name:LANCE, JAMES EARL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EARL
Last Name:LANCE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8098 N IRON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-1065
Mailing Address - Country:US
Mailing Address - Phone:520-834-1708
Mailing Address - Fax:
Practice Address - Street 1:8098 N IRON RIDGE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-1065
Practice Address - Country:US
Practice Address - Phone:520-834-1708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist