James Waldo Vandevender, RPH Valid NPI

Individual provider · Pharmacist · Dekalb, MS

NPI

1700303104

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

E-07553 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-08-25

Last updated

2017-08-25