Provider Demographics
NPI:1255326930
Name:WHITE, GINA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:ELIZABETH
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 1:3519 MARLER AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5721
Mailing Address - Country:US
Mailing Address - Phone:305-443-3485
Mailing Address - Fax:305-444-9264
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-8906
Practice Address - Fax:305-585-1993
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL250961835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy