Provider Demographics
NPI:1124437728
Name:HUFF, JAMIE BLYTHE (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:BLYTHE
Last Name:HUFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-6123
Mailing Address - Country:US
Mailing Address - Phone:336-597-5030
Mailing Address - Fax:336-597-4047
Practice Address - Street 1:1049 DURHAM RD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-6123
Practice Address - Country:US
Practice Address - Phone:336-597-5030
Practice Address - Fax:336-597-4047
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist