Organization
WHITES PHARMACY OF DALTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CRUMPTON RPH (OWNER/PIC)
(706) 259-9707
Entity
Organization
Contact information
Practice address
2955B CLEVELAND RD, DALTON, GA 30721-8004
(706) 259-9707
(706) 259-2278
Mailing address
2955B CLEVELAND RD, DALTON, GA 30721-8004
(706) 259-9707
(706) 259-2278
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00434552A
—
GA
01
—
2017346
PK
—
Enumeration date
01/16/2007
Last updated
03/13/2017
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