Individual
JAMES-MICHAEL WAYNE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(270) 887-0191
(270) 887-0201
Mailing address
PO BOX 206, CROFTON, KY 42217-0206
(270) 887-0166
(270) 887-0201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011875
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011875
STATE LICENSE
KY
Enumeration date
03/20/2006
Last updated
03/09/2014
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