Organization
WHITE'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA WHITE PIPKINS (OWNER)
(601) 928-4421
Entity
Organization
Contact information
Practice address
301 FIFTH AVE W, WIGGINS, MS 39577-2204
(601) 928-4421
Mailing address
301 FIFTH AVE W, WIGGINS, MS 39577-2204
(601) 928-4421
(601) 928-3967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
CS00470101.1
MS
332B00000X
Durable Medical Equipment & Medical Supplies
—
MS
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035041
—
MS
05
—
0440233
—
MS
Enumeration date
06/24/2006
Last updated
07/21/2022
Update your record
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