Individual
DR. TODD RUSSELL WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
976 HAMMOCK OAK LN, LEXINGTON, KY 40515-6455
(859) 245-8083
Mailing address
976 HAMMOCK OAK LN, LEXINGTON, KY 40515-6455
(859) 245-8083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012057
KY
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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