Provider Demographics
NPI:1356733596
Name:BELL, JAMES III (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BELL
Suffix:III
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 1:577 MERIMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4234
Mailing Address - Country:US
Mailing Address - Phone:334-332-4767
Mailing Address - Fax:
Practice Address - Street 1:577 MERIMONT BLVD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4234
Practice Address - Country:US
Practice Address - Phone:334-332-4767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9364183500000X
GARPH013433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL9364OtherALABAMA STATE BOARD OF PHARMACY
GARPH013433OtherGEORGIA STATE BOARD OF PHARMACY