Individual
MR. MICHAEL JOHN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3111 W HUNT HWY, QUEEN CREEK, AZ 85142-9357
(480) 214-2561
(480) 214-2565
Mailing address
3111 W HUNT HWY, QUEEN CREEK, AZ 85142-9357
(480) 214-2561
(480) 214-2565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011624
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S011624
REGISTERED PHARMACIST - IMMUNIZER
AZ
Enumeration date
10/04/2022
Last updated
10/04/2022
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