Provider Demographics
NPI:1851828255
Name:PITTS, JAMES WADE JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WADE
Last Name:PITTS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:130 HIGHWAY 252
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5054
Mailing Address - Country:US
Mailing Address - Phone:864-965-9759
Mailing Address - Fax:864-965-9872
Practice Address - Street 1:130 HIGHWAY 252
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5054
Practice Address - Country:US
Practice Address - Phone:864-965-9759
Practice Address - Fax:864-965-9872
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC137631835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric