Provider Demographics
NPI:1194059097
Name:VINTON, JAMES WARREN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WARREN
Last Name:VINTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 BRIARGATE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7842
Mailing Address - Country:US
Mailing Address - Phone:719-282-2466
Mailing Address - Fax:
Practice Address - Street 1:4105 BRIARGATE PARKWAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7842
Practice Address - Country:US
Practice Address - Phone:719-282-2466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist