Provider Demographics
NPI:1467052134
Name:WHITE, PATTI D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:D
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:PATTI
Other - Middle Name:D
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2127 SUNRISE TRL
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4722
Mailing Address - Country:US
Mailing Address - Phone:972-480-9950
Mailing Address - Fax:
Practice Address - Street 1:2275 GUS THOMASSON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-3002
Practice Address - Country:US
Practice Address - Phone:214-660-9729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist