Provider Demographics
NPI:1962720193
Name:WHITE, CHARITY DAVIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:DAVIS
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 1:9815 ROSE COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3334
Mailing Address - Country:US
Mailing Address - Phone:704-947-2240
Mailing Address - Fax:704-947-2237
Practice Address - Street 1:9815 ROSE COMMONS DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3334
Practice Address - Country:US
Practice Address - Phone:704-947-2240
Practice Address - Fax:704-947-2237
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist