Healthcare Provider Details

I. General information

NPI: 1295748309
Provider Name (Legal Business Name): JAMES MEDICAL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 CAMPBELLSVILLE RD SUITE B
COLUMBIA KY
42728-2262
US

IV. Provider business mailing address

1545 CAMPBELLSVILLE RD SUITE B
COLUMBIA KY
42728-2262
US

V. Phone/Fax

Practice location:
  • Phone: 270-385-9600
  • Fax: 270-385-9631
Mailing address:
  • Phone: 270-385-9600
  • Fax: 270-385-9631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPO6424
License Number StateKY

VIII. Authorized Official

Name: WILLIAM C MILBY JR.
Title or Position: TREASURER/OWNER
Credential:
Phone: 270-465-8220