Provider Demographics
NPI:1275354151
Name:JAMES, WILLIAM TERRY JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TERRY
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:TERRY
Other - Last Name:JAMES
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1106 WATSON PL
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-3156
Mailing Address - Country:US
Mailing Address - Phone:501-315-6433
Mailing Address - Fax:
Practice Address - Street 1:306 N REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-3440
Practice Address - Country:US
Practice Address - Phone:501-847-3596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist