Healthcare Provider Details

I. General information

NPI: 1215911896
Provider Name (Legal Business Name): JAMES ALAN WHITE PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 RADIO HILL RD
MARION VA
24354-6587
US

IV. Provider business mailing address

465 HILLTOP DR SW APT. # D 19
ABINGDON VA
24210-2586
US

V. Phone/Fax

Practice location:
  • Phone: 276-782-1145
  • Fax: 276-782-1474
Mailing address:
  • Phone: 919-244-3165
  • Fax: 276-782-1474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202205414
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: