Individual
DR. EVAN ANDREW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1809 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3119
(215) 426-0956
Mailing address
1440 MOUNT VERNON ST APT 102, PHILADELPHIA, PA 19130-2946
(757) 572-2092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202209965
VA
183500000X
Pharmacist
28RI03481600
NJ
183500000X
Pharmacist
Primary
RP446656
PA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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