Basic Information
Provider Information
NPI: 1851396774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNTER
FirstName: JAMES
MiddleName: ALLEN
NamePrefix:  
NameSuffix:  
Credential: MS, R. PH.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4734 CATCLAW DRIVE
Address2:  
City: ABILENE
State: TX
PostalCode: 796063218
CountryCode: US
TelephoneNumber: 3256987686
FaxNumber:  
Practice Location
Address1: 1957 ANTILLEY ROAD
Address2:  
City: ABILENE
State: TX
PostalCode: 796065208
CountryCode: US
TelephoneNumber: 3256903854
FaxNumber: 3256927301
Other Information
ProviderEnumerationDate: 06/16/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X23998TXY Pharmacy Service ProvidersPharmacist 

No ID Information.


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