Provider Demographics
NPI:1124344056
Name:ORENTHAL JAMES CARTER
Entity type:Organization
Organization Name:ORENTHAL JAMES CARTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ORENTHAL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:251-404-3387
Mailing Address - Street 1:18 COTTAGE FARM RD
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-9051
Mailing Address - Country:US
Mailing Address - Phone:251-404-3387
Mailing Address - Fax:
Practice Address - Street 1:18 COTTAGE FARM RD
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-9051
Practice Address - Country:US
Practice Address - Phone:251-404-3387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15447333600000X
LA018123333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy