Provider Demographics
NPI:1902145691
Name:JAMES, NEETHU SARA (PHARM D, RPH)
Entity Type:Individual
Prefix:
First Name:NEETHU
Middle Name:SARA
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3867 WHITEDOVE DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33812-4359
Mailing Address - Country:US
Mailing Address - Phone:863-430-5912
Mailing Address - Fax:
Practice Address - Street 1:2200 9TH ST N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4401
Practice Address - Country:US
Practice Address - Phone:239-263-0240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist