| Organization Name: | WHITE DRUG ENTERPRISES INC |
| NPI Number: | 1053400655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY WEIPPERT (EVP PHARMACY) |
| Mailing Address: | 707 Highway 33 S Ste 12 Cloquet |
| State: | MN US |
| Postal Code: | 557202665 |
| Phone Number: | 2188796768 |
| Fax Number: | 2188795313 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 424-43 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |