Provider Demographics
NPI:1215911896
Name:WHITE, JAMES ALAN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALAN
Last Name:WHITE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:465 HILLTOP DR SW
Mailing Address - Street 2:APT. # D 19
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2586
Mailing Address - Country:US
Mailing Address - Phone:919-244-3165
Mailing Address - Fax:276-782-1474
Practice Address - Street 1:565 RADIO HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-6587
Practice Address - Country:US
Practice Address - Phone:276-782-1145
Practice Address - Fax:276-782-1474
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0202205414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist