Provider Demographics
NPI:1588875496
Name:WHITLEY, CHRISTY W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:W
Last Name:WHITLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:7420 WOODBRIDGE ROAD
Mailing Address - City:STANTONSBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27883-0532
Mailing Address - Country:US
Mailing Address - Phone:252-413-0063
Mailing Address - Fax:252-413-0646
Practice Address - Street 1:270 EASY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-413-0063
Practice Address - Fax:252-413-0646
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC110581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy