Individual
JOHN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11745 ROUSBY HALL RD, LUSBY, MD 20657-2614
(410) 394-2730
Mailing address
11745 ROUSBY HALL RD, LUSBY, MD 20657-2614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23235
MD
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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