Provider Demographics
NPI:1932584406
Name:WHITNEY, ALLISON MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:WHITNEY
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 1:330 LEBBY ST
Mailing Address - Street 2:
Mailing Address - City:PELZER
Mailing Address - State:SC
Mailing Address - Zip Code:29669-1758
Mailing Address - Country:US
Mailing Address - Phone:864-947-9214
Mailing Address - Fax:
Practice Address - Street 1:330 LEBBY ST
Practice Address - Street 2:
Practice Address - City:PELZER
Practice Address - State:SC
Practice Address - Zip Code:29669-1758
Practice Address - Country:US
Practice Address - Phone:864-947-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC36209OtherBOARD OF PHARMACY STATE LICENSE