Individual
MR. JAMES A DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
701 N CABLE RD, LIMA, OH 45805-1737
(419) 222-9462
(419) 222-8345
Mailing address
701 N CABLE RD, LIMA, OH 45805-1737
(419) 222-9462
(419) 222-8345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03318237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03318237
PHARMACY LICENSE #
OH
Enumeration date
09/23/2011
Last updated
09/23/2011
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