Individual
JARED C. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4600 E MAIN ST, FARMINGTON, NM 87402-8603
(505) 326-1197
(505) 325-9822
Mailing address
4600 E MAIN ST, FARMINGTON, NM 87402-8603
(505) 326-1197
(505) 325-9822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007710
NM
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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