Provider Demographics
NPI:1861089112
Name:TOBITT, JAMES (PHARMD MSL-BC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:TOBITT
Suffix:
Gender:M
Credentials:PHARMD MSL-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 SURREY DR
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-2323
Mailing Address - Country:US
Mailing Address - Phone:619-434-2143
Mailing Address - Fax:
Practice Address - Street 1:256 SURREY DR
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-2323
Practice Address - Country:US
Practice Address - Phone:619-434-2143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA439991835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist