# WHITAKER'S PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528073137
- **Authorized official:** WILLIAM WHITAKER RPH (PRESIDENT)
- **Authorized official phone:** (912) 579-2215

## Contact information

- **Practice address:** 213 S JL TYRE ST, SCREVEN, GA 31560-0099
- **Practice address phone:** (912) 579-2215
- **Practice address fax:** (912) 579-2360
- **Mailing address:** PO BOX 99, SCREVEN, GA 31560-0099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRRE006063 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/11/2025
