Provider Demographics
NPI:1558493122
Name:VOLLMAR, JAMES OTTO SR (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:OTTO
Last Name:VOLLMAR
Suffix:SR
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 1:36486 US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:CHASSELL
Mailing Address - State:MI
Mailing Address - Zip Code:49916-9261
Mailing Address - Country:US
Mailing Address - Phone:906-523-4045
Mailing Address - Fax:
Practice Address - Street 1:36486 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:CHASSELL
Practice Address - State:MI
Practice Address - Zip Code:49916-9261
Practice Address - Country:US
Practice Address - Phone:906-523-4045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist