Organization
JERRY WHITE'S PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J ERRY WHITE PAHRMACIST (PRESIDENT)
(706) 886-2662
Entity
Organization
Contact information
Practice address
3741 HIGHWAY 17, TOCCOA, GA 30577-8275
(706) 886-2662
(706) 886-2867
Mailing address
3741 HIGHWAY 17, TOCCOA, GA 30577-8275
(706) 886-2662
(706) 886-2867
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00403686A
—
GA
Enumeration date
12/08/2006
Last updated
03/07/2023
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