Healthcare Provider Details

I. General information

NPI: 1043501240
Provider Name (Legal Business Name): JAMES JAY NUNALEE JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 04/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 WESTERN BLVD
JACKSONVILLE NC
28546-6317
US

IV. Provider business mailing address

377 WESTERN BLVD
JACKSONVILLE NC
28546
US

V. Phone/Fax

Practice location:
  • Phone: 910-353-3424
  • Fax:
Mailing address:
  • Phone: 910-353-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16526
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: