Provider Demographics
NPI:1265680870
Name:WHITE, SUSAN ARMOUR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ARMOUR
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 1:1680 CENTURY CENTER PKWY STE 12
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-8827
Mailing Address - Country:US
Mailing Address - Phone:901-386-3738
Mailing Address - Fax:
Practice Address - Street 1:1680 CENTURY CENTER PKWY STE 12
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-8827
Practice Address - Country:US
Practice Address - Phone:901-386-3738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist