Provider Demographics
NPI:1548329246
Name:WARD, JAMIE DURHAM (RPH)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:DURHAM
Last Name:WARD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1609 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9130
Mailing Address - Country:US
Mailing Address - Phone:252-321-2874
Mailing Address - Fax:
Practice Address - Street 1:101 HEART DR
Practice Address - Street 2:FAMILY PRACTICE CENTER PHARMACY
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8982
Practice Address - Country:US
Practice Address - Phone:252-744-4680
Practice Address - Fax:252-744-3804
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist