Provider Demographics
NPI:1457805590
Name:LOPRESTI, JAMES (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:LOPRESTI
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 1:3440 W GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-8323
Mailing Address - Country:US
Mailing Address - Phone:602-336-4590
Mailing Address - Fax:602-336-9954
Practice Address - Street 1:3440 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-8323
Practice Address - Country:US
Practice Address - Phone:602-336-4590
Practice Address - Fax:602-336-9954
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist