Provider Demographics
NPI:1891118295
Name:BATAOEL, JAMES R (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:BATAOEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17255 N 82ND ST STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6339
Mailing Address - Country:US
Mailing Address - Phone:855-584-6189
Mailing Address - Fax:855-578-1691
Practice Address - Street 1:17255 N 82ND ST STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6339
Practice Address - Country:US
Practice Address - Phone:855-584-6189
Practice Address - Fax:855-578-1691
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist