Healthcare Provider Details

I. General information

NPI: 1083982102
Provider Name (Legal Business Name): JAMES CRAM R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2011
Last Update Date: 12/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 ROCKVIEW RD
SALINA KS
67401-3359
US

IV. Provider business mailing address

650 ROCKVIEW RD
SALINA KS
67401-3359
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-6014
  • Fax: 877-297-4979
Mailing address:
  • Phone: 785-825-6014
  • Fax: 877-297-4979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number1-09278
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: