Provider Demographics
NPI:1457701385
Name:CONKLIN, JAMES (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CONKLIN
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 1:27 EMERALD DR
Mailing Address - Street 2:UNIT 16
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-3163
Mailing Address - Country:US
Mailing Address - Phone:203-440-2490
Mailing Address - Fax:
Practice Address - Street 1:27 EMERALD DR
Practice Address - Street 2:UNIT 16
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-3163
Practice Address - Country:US
Practice Address - Phone:203-440-2490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR25331835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care