Provider Demographics
NPI:1831561794
Name:GALE, JAMES BRIAN (PHARM D)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:GALE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3901
Mailing Address - Country:US
Mailing Address - Phone:928-649-3850
Mailing Address - Fax:928-649-3848
Practice Address - Street 1:550 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3901
Practice Address - Country:US
Practice Address - Phone:928-649-3850
Practice Address - Fax:928-649-3848
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist