Organization
RILEY-WHITE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERROLD D WHITE RPH (CO OWNER MANAGER)
(270) 726-7626
Entity
Organization
Contact information
Practice address
153 PARK SQUARE NW, RUSSELLVILLE, KY 42276
(270) 726-7626
(270) 726-7879
Mailing address
153 PARK SQUARE NW, RUSSELLVILLE, KY 42276
(270) 726-7626
(270) 726-7879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P06574
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90170713
—
KY
Enumeration date
11/29/2006
Last updated
02/17/2026
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