Provider Demographics
NPI:1063536001
Name:WHITMIRE, CAROLYN HOLLY (RPH)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:HOLLY
Last Name:WHITMIRE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 SINGLE TREE CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3329
Mailing Address - Country:US
Mailing Address - Phone:205-980-0847
Mailing Address - Fax:
Practice Address - Street 1:950 22ND ST N
Practice Address - Street 2:SUITE 590
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-1126
Practice Address - Country:US
Practice Address - Phone:205-458-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9334183500000X
FL17040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist