Provider Demographics
NPI:1194050443
Name:TALMADGE, JAMES ALAN (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALAN
Last Name:TALMADGE
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 1:10112 W MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5225
Mailing Address - Country:US
Mailing Address - Phone:623-877-9136
Mailing Address - Fax:
Practice Address - Street 1:10675 W INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-5645
Practice Address - Country:US
Practice Address - Phone:623-772-0502
Practice Address - Fax:623-872-4987
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS008674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist