Provider Demographics
NPI:1730411927
Name:MARBUT, JAMES M (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:MARBUT
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 1:4409 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-2843
Mailing Address - Country:US
Mailing Address - Phone:205-681-6710
Mailing Address - Fax:
Practice Address - Street 1:7845 CRESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-1914
Practice Address - Country:US
Practice Address - Phone:205-956-8750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist