MEDICARE: DR. CASARA 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	14784	OK
2	183500000X	Pharmacist	S020545	AZ

General Provider Information

NPI Number	:	1558785378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASARA WHITE PHARM. D.

Provider Business Mailing Address
First Line	:	267 E SYCAMORE VIEW RD
Second Line	:
City	:	VAIL
State	:	AZ
Zip	:	85641-2815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9260 S HOUGHTON RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-9732
Country	:	US
Telephone Number	:	520-329-6677
Fax Number	:

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

Provider Enumeration Date	:	02/13/2014
Last Update Date	:	08/31/2014

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Directions to “ DR. CASARA WHITE PHARM. D.” Practice Location

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