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Individual

JOSEPH WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
495 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-2141
(336) 751-7974
Mailing address
495 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-2141
(336) 751-7974

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11218
NC
183500000X
Pharmacist
PS36525
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0305086
NC
Enumeration date
03/30/2015
Last updated
03/30/2015
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