Individual
MR. JERROLD D WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
153 NW PARK SQ, RUSSELLVILLE, KY 42276-1335
(270) 726-7626
(270) 726-7879
Mailing address
153 NW PARK SQ, RUSSELLVILLE, KY 42276-1335
(270) 726-7626
(270) 726-7879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005918
KY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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