MEDICARE: DR. JAMES WARREN SPICER II PHARM.D.

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	1835P1200X	Pharmacotherapy Pharmacist	03-2-26253	OH

General Provider Information

NPI Number	:	1245380088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WARREN SPICER II PHARM.D.

Provider Business Mailing Address
First Line	:	1221 HAYES AVE STE F
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-3345
Country	:	US
Telephone Number	:	419-621-6990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 HAYES AVE STE F
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-3345
Country	:	US
Telephone Number	:	419-621-6990
Fax Number	:

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	04/28/2021

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