Provider / Organization | NPI | Date Certified |
---|---|---|
KEITH WHITE | 1952905887 | 2020-11-22 |
Keith White is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952905887. Registration indicates Keith White is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Keith White |
Practice Office Address | 1511 JEFFERSON DAVIS HWY FREDERICKSBURG, VA US |
Practice Office Telephone | 5408996874 |
Practice Office Fax | 5403734031 |
Mailing Address | 1511 JEFFERSON DAVIS HWY FREDERICKSBURG, VA 224014631 US |
Business Telephone | 5408996874 |
Business Fax | 5403734031 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 0202011150
VA |