Provider Demographics
NPI:1265263529
Name:WHITE, CARLIE (PHARMD, MBA)
Entity type:Individual
Prefix:DR
First Name:CARLIE
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:CARLIE
Other - Middle Name:
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 MILAN RD
Mailing Address - Street 2:
Mailing Address - City:PAYNEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40157-7531
Mailing Address - Country:US
Mailing Address - Phone:270-750-1022
Mailing Address - Fax:
Practice Address - Street 1:1230 HIGH ST
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-1517
Practice Address - Country:US
Practice Address - Phone:270-422-2422
Practice Address - Fax:270-422-3299
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY025316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist