MEDICARE: DAVID ASHLEY WHITE PHARM D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS52418	FL

General Provider Information

NPI Number	:	1023417094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ASHLEY WHITE PHARM D.

Provider Business Mailing Address
First Line	:	4567 RIVER CITY DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-7411
Country	:	US
Telephone Number	:	904-596-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	4567 RIVER CITY DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-7411
Country	:	US
Telephone Number	:	904-596-0021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2014
Last Update Date	:	08/15/2014

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Directions to “ DAVID ASHLEY WHITE PHARM D.” Practice Location

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