Healthcare Provider Details

I. General information

NPI: 1801886601
Provider Name (Legal Business Name): JAMES PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 LAGRANGE ST
TOLEDO OH
43604-1768
US

IV. Provider business mailing address

623 LAGRANGE ST
TOLEDO OH
43604-1768
US

V. Phone/Fax

Practice location:
  • Phone: 419-243-9161
  • Fax: 419-243-7337
Mailing address:
  • Phone: 419-243-9161
  • Fax: 419-243-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. KEITH D. BARGA
Title or Position: RESPONSIBLE PHARMACIST/ V-P
Credential: RPH
Phone: 419-243-9161