White, Martin Jack

White, Martin Jack is an sole proprietor health care provider with primary practice located at 518 W Valley Blvd , Colton CA 92324-2249. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. White, Martin Jack can be contacted via phone (909) 422-0444.

Contact Information

Primary practice address
518 W Valley Blvd Colton CA 92324-2249
Fax: (909) 422-0459
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 25639 California

Profile Details

NPI number 1427176312
LBN Legal business name White, Martin Jack
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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