Provider Demographics
NPI:1457691453
Name:WERLINE, JAMES CHONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHONG
Last Name:WERLINE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-3233
Mailing Address - Country:US
Mailing Address - Phone:210-657-0322
Mailing Address - Fax:210-599-3485
Practice Address - Street 1:6030 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-3233
Practice Address - Country:US
Practice Address - Phone:210-657-0322
Practice Address - Fax:210-599-3485
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist