Provider Demographics
NPI:1144262189
Name:GILLESPIE, JAMES BYRON (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BYRON
Last Name:GILLESPIE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4908 SARATOGA CIR SE
Mailing Address - Street 2:
Mailing Address - City:BROWNSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35741-9323
Mailing Address - Country:US
Mailing Address - Phone:256-533-9895
Mailing Address - Fax:256-425-0195
Practice Address - Street 1:2121 WHITESBURG DR S
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4501
Practice Address - Country:US
Practice Address - Phone:256-425-0123
Practice Address - Fax:256-425-0195
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist