Individual
DEREK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
WALMART PHARMACY, 1123 HIGHWAY 79-167 BYPASS, FORDYCE, AR 71742
(870) 352-8034
(870) 352-8337
Mailing address
WALMART PHARMACY, 1123 HIGHWAY 79-167 BYPASS, FORDYCE, AR 71742
(870) 352-8034
(870) 352-8337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09249
AR
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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