Provider Demographics
NPI:1396807228
Name:KRAMER, JAMES E (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:KRAMER
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 1:1136 WENTWORTH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-8784
Mailing Address - Country:US
Mailing Address - Phone:419-868-5208
Mailing Address - Fax:
Practice Address - Street 1:3164 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:IDA
Practice Address - State:MI
Practice Address - Zip Code:48140-9703
Practice Address - Country:US
Practice Address - Phone:734-269-9245
Practice Address - Fax:734-269-2394
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist