Individual
ERIC PAUL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5999 BURKE COMMONS RD, BURKE, VA 22015-2880
(703) 249-7700
Mailing address
4728 WESTERN ST, FAIRFAX, VA 22030-4484
(703) 909-6069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011149
VA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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