Provider Demographics
NPI:1780916957
Name:FOLSOM, JAMES RYAN (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RYAN
Last Name:FOLSOM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:36320-0130
Mailing Address - Country:US
Mailing Address - Phone:334-691-3784
Mailing Address - Fax:334-691-7007
Practice Address - Street 1:12890 COTTONWOOD RD
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AL
Practice Address - Zip Code:36320-4293
Practice Address - Country:US
Practice Address - Phone:334-691-3784
Practice Address - Fax:334-691-7007
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL43823183500000X
AL15897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist