Individual
KAITLYN ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 W REYNOLDS ST, PONTIAC, IL 61764-9776
(815) 844-4767
(815) 844-4767
Mailing address
1001 W REYNOLDS ST, PONTIAC, IL 61764-9776
(815) 844-4767
(815) 844-4767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.300774
IL
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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