Provider Demographics
NPI:1821601238
Name:SNEAD, JAMES BLAKE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BLAKE
Last Name:SNEAD
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 1:1701 TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-5006
Mailing Address - Country:US
Mailing Address - Phone:540-744-3377
Mailing Address - Fax:540-744-3379
Practice Address - Street 1:1701 TYLER AVE
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-5006
Practice Address - Country:US
Practice Address - Phone:540-744-3377
Practice Address - Fax:540-744-3379
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist