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Individual

DR. RUSSELL WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2001 W 86TH ST, PHARMACY DEPARTMENT, INDIANAPOLIS, IN 46260-1902
(317) 338-6791
Mailing address
2001 W 86TH ST, PHARMACY DEPARTMENT, INDIANAPOLIS, IN 46260-1902
(317) 338-6791

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26023404A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0006542
WV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP440921
PA

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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