Provider Demographics
NPI:1174802185
Name:WHITE, ANDREW LEWIS (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LEWIS
Last Name:WHITE
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 FEDERAL RD
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-8395
Mailing Address - Country:US
Mailing Address - Phone:919-207-2703
Mailing Address - Fax:
Practice Address - Street 1:108 ROWAN ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4920
Practice Address - Country:US
Practice Address - Phone:910-307-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist