MEDICARE: JAMES BRAXTON PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	16585	NC

General Provider Information

NPI Number	:	1205253937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BRAXTON PHARMD.

Provider Business Mailing Address
First Line	:	3712 LAWNDALE DR STE G
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 LAWNDALE DR STE G
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3066
Country	:	US
Telephone Number	:	336-944-1365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	03/19/2014

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Directions to “ JAMES BRAXTON PHARMD.” Practice Location

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