Provider Demographics
NPI:1295338747
Name:TUTTLE, JAMES H
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:TUTTLE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:H
Other - Last Name:TUTTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:131 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-2016
Mailing Address - Country:US
Mailing Address - Phone:508-886-2190
Mailing Address - Fax:
Practice Address - Street 1:18 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1529
Practice Address - Country:US
Practice Address - Phone:508-886-6261
Practice Address - Fax:508-886-2443
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH16965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist