Provider Demographics
NPI:1295059509
Name:PURCELL, JAMES HENRY (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HENRY
Last Name:PURCELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2224 BARCELONA RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-5324
Mailing Address - Country:US
Mailing Address - Phone:518-370-5233
Mailing Address - Fax:
Practice Address - Street 1:59 HETCHELTOWN RD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-5506
Practice Address - Country:US
Practice Address - Phone:518-384-3635
Practice Address - Fax:518-384-1637
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036463-11835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric