Healthcare Provider Details
I. General information
NPI: 1629068432
Provider Name (Legal Business Name): JAMES BRITTON JR. PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/24/2005
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2650 W KEARNEY ST
SPRINGFIELD MO
65803-2037
US
IV. Provider business mailing address
261 LILAC LN
CLEVER MO
65631-6787
US
V. Phone/Fax
- Phone: 417-865-1547
- Fax:
- Phone: 417-689-4950
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 34944 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 2004009926 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 11805 |
| License Number State | OK |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 2004009926 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: