Provider Demographics
NPI:1376843342
Name:WHITE, TANYA R (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:TANYA
Middle Name:R
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:R
Other - Last Name:ARAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9050 E. VALENCIA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747
Mailing Address - Country:US
Mailing Address - Phone:520-663-0700
Mailing Address - Fax:520-663-0930
Practice Address - Street 1:9050 E. VALENCIA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747
Practice Address - Country:US
Practice Address - Phone:520-663-0700
Practice Address - Fax:520-663-0930
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist