Provider Demographics
NPI:1912224916
Name:LOFTIN, JAMES ARNOLD JR (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARNOLD
Last Name:LOFTIN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:1836 WINDSONG CIR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-7304
Mailing Address - Country:US
Mailing Address - Phone:817-379-4485
Mailing Address - Fax:817-337-4321
Practice Address - Street 1:2214 PADDOCK WAY DR
Practice Address - Street 2:SUITE 900A
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1005
Practice Address - Country:US
Practice Address - Phone:972-343-2213
Practice Address - Fax:972-343-2255
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX29321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist