Provider Demographics
NPI:1306531025
Name:JAMES, WHITNEY MARIE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2552 PULLMAN ALBION RD SPC C3
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-8955
Mailing Address - Country:US
Mailing Address - Phone:360-209-8108
Mailing Address - Fax:
Practice Address - Street 1:1810 W PULLMAN RD
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-4014
Practice Address - Country:US
Practice Address - Phone:208-882-3583
Practice Address - Fax:208-883-8280
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCT48017183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician