Provider Demographics
NPI:1912063421
Name:CHASE, JAMES H (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:CHASE
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 1:9710 E CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6212
Mailing Address - Country:US
Mailing Address - Phone:480-614-0643
Mailing Address - Fax:
Practice Address - Street 1:4724 N 20TH ST.
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4704
Practice Address - Country:US
Practice Address - Phone:602-263-0771
Practice Address - Fax:602-263-0795
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9995183500000X
CT4952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist