Most Relevant Information
Provider Data
| NPI Number: | 1003804220 |
| Provider Name: | JAMES A. PETTUS R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 007298 |
Most Important Dates
| Enumeration Date: | 10/11/2005 |
| Last Updated: | 07/16/2007 |
Provider Practice Location
3033 WINKLER AVENUE EXT
FORT MYERS
FL
339169413
Practice Location Phone/Fax
| Phone: | 2399393939 |
| Fax: | 2399316109 |
Provider Mailing Location
12383 ANGLERS CV
FORT MYERS
FL
339081891
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |