Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES WALDO VANDEVENDER, RPH
Active Sole ProprietorJAMES WALDO VANDEVENDER, RPH is a Pharmacist healthcare provider located in DEKALB, Mississippi. NPI 1700303104 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · DEKALB, MS
Registration Details
- NPI Number
- 1700303104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2017 (8.9593396250794 yrs)
- Last Updated
- Aug 25, 2017
- License
-
E-07553 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14916 HWY 16 WESTDEKALB, MS, 39328Browse MS providers · Browse ZIP 39328
- Phone
- 6017432917
- Fax
- 6017434455
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.