Individual
JEFFREY JAMES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
N2934 HWY 22 N, WAUTOMA, WI 54982-0645
(920) 787-5757
(920) 787-5382
Mailing address
N2934 HWY 22 N, WAUTOMA, WI 54982-0645
(920) 787-5757
(920) 787-5382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16385-40
WI
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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