Individual
DIANA BOOTH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-9933
(731) 989-9934
Mailing address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-9933
(731) 989-9934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8272
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8272
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
09/10/2018
Last updated
09/10/2018
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