Provider Demographics
NPI:1699874305
Name:WHITE, JANICE M (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:M
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-6320
Mailing Address - Country:US
Mailing Address - Phone:504-466-7753
Mailing Address - Fax:504-466-7757
Practice Address - Street 1:1700 HUDSON ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-6320
Practice Address - Country:US
Practice Address - Phone:504-466-7753
Practice Address - Fax:504-466-7757
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist