Individual
CARY BRENT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2296 EXECUTIVE DR, LEXINGTON, KY 40505-4820
(859) 294-4202
Mailing address
296 PAYNES DEPOT RD, LEXINGTON, KY 40511-9149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010345
KY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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