Healthcare Provider Details

I. General information

NPI: 1689946790
Provider Name (Legal Business Name): JENNIFER MARIE JAMES PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2012
Last Update Date: 04/09/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SUDLAGER
VILSECK BAVARIA
92249
DE

IV. Provider business mailing address

ROSE BARRACKS, GERMANY UNIT 23807
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-3551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP442966
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: