Individual
GREGORY ALLEN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
826 HIGHWAY 12 W, STARKVILLE, MS 39759-3582
(662) 324-8053
(662) 324-8056
Mailing address
571 N LAKE CIR, EUPORA, MS 39744-4036
(662) 552-0494
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-08175
MS
Other
Enumeration date
12/09/2019
Last updated
02/13/2020
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