Provider Demographics
NPI:1699949685
Name:HINKLEY, JAMES AUSTIN
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:AUSTIN
Last Name:HINKLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-4366
Mailing Address - Country:US
Mailing Address - Phone:517-263-0603
Mailing Address - Fax:517-266-9272
Practice Address - Street 1:1200 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-4366
Practice Address - Country:US
Practice Address - Phone:517-263-0603
Practice Address - Fax:517-266-9272
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022956183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist