Healthcare Provider Details

I. General information

NPI: 1851937973
Provider Name (Legal Business Name): JAMES M AWADA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3462 STERNS RD
LAMBERTVILLE MI
48144-9576
US

IV. Provider business mailing address

25200 ROCKY HARBOUR DR
PERRYSBURG OH
43551-7620
US

V. Phone/Fax

Practice location:
  • Phone: 734-854-2690
  • Fax: 248-471-2082
Mailing address:
  • Phone: 586-864-6919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302040827
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: