Individual
JACK WALTER WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4 CRESTWOOD LN, CANDLER, NC 28715-9652
(304) 444-6158
Mailing address
4 CRESTWOOD LN, CANDLER, NC 28715-9652
(304) 444-6158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18607
NC
Other
Enumeration date
09/20/2008
Last updated
04/12/2026
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