Individual
MR. JAMES E ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1310 W MORTON ST, OAKLAND CITY, IN 47660-7615
(812) 749-4129
(812) 749-4561
Mailing address
225 PIN OAK LN, MADISONVILLE, KY 42431-8745
(615) 480-6575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
013490
MO
183500000X
Pharmacist
044863
KY
183500000X
Pharmacist
Primary
26025414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013490
KENTUCKY BOARD OF PHARMACY
KY
01
—
044863
MISSOURI BOARD OF PHARMACY
MO
01
—
26025414A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
07/07/2017
Last updated
07/07/2017
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