Healthcare Provider Details

I. General information

NPI: 1962743567
Provider Name (Legal Business Name): TPSRX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 03/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 S COY RD
OREGON OH
43616-3452
US

IV. Provider business mailing address

846 S COY RD
OREGON OH
43616-3452
US

V. Phone/Fax

Practice location:
  • Phone: 419-693-9459
  • Fax: 419-843-1362
Mailing address:
  • Phone: 419-693-9459
  • Fax: 419-843-1362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM G JAMES JR.
Title or Position: OWNER
Credential: MD
Phone: 419-843-1370