Provider Demographics
NPI:1699387464
Name:PATE, JAMES Z (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:Z
Last Name:PATE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 SANFORD AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1122
Mailing Address - Country:US
Mailing Address - Phone:540-524-9983
Mailing Address - Fax:833-308-3108
Practice Address - Street 1:2311 SANFORD AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1122
Practice Address - Country:US
Practice Address - Phone:540-524-9983
Practice Address - Fax:833-308-3108
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist