Organization
WHITE HOUSE PHARMACY
Active
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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