Most Relevant Information
Provider Data
| NPI Number: | 1003427493 |
| Provider Name: | JAMES MIRACLE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 21451 |
Most Important Dates
| Enumeration Date: | 08/11/2020 |
| Last Updated: | 08/11/2020 |
Provider Practice Location
2015 NORMANDIE DR
MONTGOMERY
AL
361112711
Practice Location Phone/Fax
| Phone: | 3347501528 |
| Fax: |
Provider Mailing Location
4371 AL HIGHWAY 169
OPELIKA
AL
368040507
Provider Mailing Phone/Fax
| Phone: | 3347501528 |
| Fax: |