Provider Demographics
NPI:1194544650
Name:WHIDBEE, TAHIYA MANNING (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAHIYA
Middle Name:MANNING
Last Name:WHIDBEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4043 LEIGHTON LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-0009
Mailing Address - Country:US
Mailing Address - Phone:252-217-9779
Mailing Address - Fax:
Practice Address - Street 1:3050 TRAEMOOR VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306
Practice Address - Country:US
Practice Address - Phone:910-424-3519
Practice Address - Fax:910-424-3545
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC311141835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist