White, Russell
White, Russell is an sole proprietor health care provider with primary practice located at 2001 W 86Th St Pharmacy Department, Indianapolis IN 46260-1902. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. White, Russell can be contacted via phone (317) 338-6791.Contact Information
Primary practice address
2001 W 86Th St Pharmacy Department
Indianapolis IN 46260-1902
Phone: (317) 338-6791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26023404A | Indiana |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP0006542 | West Virginia |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP440921 | Pennsylvania |
Profile Details
| NPI number | 1093165748 |
|---|---|
| LBN Legal business name | White, Russell |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2016 |
| Last updated | Jun 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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