Provider Demographics
NPI:1174339717
Name:ARTALE, JAMIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:
Last Name:ARTALE
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 1:419 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-2636
Mailing Address - Country:US
Mailing Address - Phone:540-718-7200
Mailing Address - Fax:
Practice Address - Street 1:419 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968-2636
Practice Address - Country:US
Practice Address - Phone:540-718-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist