Individual
KEVIN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 BROAD ST, RIVERTON, NJ 08077-1145
(856) 829-1187
Mailing address
716 CORNWALLIS DR, MOUNT LAUREL, NJ 08054-3219
(609) 234-2551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03371100
NJ
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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