Provider Demographics
NPI:1528100633
Name:CORDES, JAMES A (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:CORDES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 PEMBROOKE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8511
Mailing Address - Country:US
Mailing Address - Phone:314-317-9131
Mailing Address - Fax:314-317-9141
Practice Address - Street 1:8390 DELMAR BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2117
Practice Address - Country:US
Practice Address - Phone:314-991-1111
Practice Address - Fax:314-991-2338
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO028128183500000X
IL051-29918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist