Provider Demographics
NPI:1174743595
Name:CANTRELL, JAMES ALTON (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALTON
Last Name:CANTRELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9751 S ROCKY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:36320-4407
Mailing Address - Country:US
Mailing Address - Phone:334-691-7210
Mailing Address - Fax:334-691-7278
Practice Address - Street 1:9751 S ROCKY CREEK RD
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AL
Practice Address - Zip Code:36320-4407
Practice Address - Country:US
Practice Address - Phone:334-691-7210
Practice Address - Fax:334-691-7278
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL74731835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric