Individual
CHAD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1920 GRANT ST NW, FARIBAULT, MN 55021-4897
(507) 334-1555
Mailing address
1920 GRANT ST NW, FARIBAULT, MN 55021-4897
(507) 334-1555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125796
MN
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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