Provider Demographics
NPI:1134431380
Name:LOTZ, JAMES H (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:LOTZ
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 1:4120 SILK HOPE GUM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-6393
Mailing Address - Country:US
Mailing Address - Phone:919-545-5512
Mailing Address - Fax:
Practice Address - Street 1:4120 SILK HOPE GUM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-6393
Practice Address - Country:US
Practice Address - Phone:919-545-5512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-03
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23466183500000X
MO42215183500000X
NC16679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist