Provider Demographics
NPI:1992822753
Name:PRITZ, JAMES D (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:PRITZ
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 1:837 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4660
Mailing Address - Country:US
Mailing Address - Phone:815-723-0611
Mailing Address - Fax:
Practice Address - Street 1:837 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-4660
Practice Address - Country:US
Practice Address - Phone:815-723-0611
Practice Address - Fax:815-723-7865
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist