Individual
MR. MICHAEL GENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1615 WEST MAIN ST, ALBERT LEA, MN 56007
(507) 373-6337
(507) 373-1379
Mailing address
1615 W MAIN ST, ALBERT LEA, MN 56007-1868
(507) 373-6337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112650
MN
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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