Individual
DAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 WEST HIGHWAY 71, BASTROP, TX 78602
(512) 321-4008
(512) 321-2608
Mailing address
504 W HIGHWAY 71, BASTROP, TX 78602-3735
(512) 321-4008
(512) 321-2608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34572
TX
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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