Provider Demographics
NPI:1467809848
Name:WHITE, DONNA (RPH)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:1222 JEFFERSON PARK AVE
Mailing Address - Street 2:UMA CLINIC UVA HEALTH SYSTEM
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-3410
Mailing Address - Country:US
Mailing Address - Phone:434-982-4013
Mailing Address - Fax:434-243-5770
Practice Address - Street 1:1222 JEFFERSON PARK AVE
Practice Address - Street 2:UMA CLINIC UVA HEALTH SYSTEM
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3410
Practice Address - Country:US
Practice Address - Phone:434-982-4013
Practice Address - Fax:434-243-5770
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020070941835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist