Organization
WHITE HOUSE PHARMACY
Active
Other names
White House Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JARED LONON PHARMD (OWNER, PIC, AO)
(615) 334-1212
Entity
Organization
Contact information
Practice address
491 SAGE RD N STE 1200, WHITE HOUSE, TN 37188-9363
(615) 334-1212
(615) 334-1543
Mailing address
491 SAGE RD N STE 1200, WHITE HOUSE, TN 37188-9363
(615) 334-1212
(615) 334-1543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5825
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160676
PK
—
Enumeration date
06/17/2016
Last updated
11/15/2021
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