Individual
DR. WANNELL LANIER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
400 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4367
(208) 529-5300
(208) 529-0940
Mailing address
5237 VILLA MIRAGE CT, IDAHO FALLS, ID 83404-4942
(208) 521-1273
(208) 529-0940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5580
ID
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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