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Individual

AMANDA PENNY WHITLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
518 E NASH ST, LOUISBURG, NC 27549-2460
(919) 496-4131
(919) 496-2300
Mailing address
4093 MULLEN RD, MIDDLESEX, NC 27557-8064
(252) 478-4206

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18254
NC

Other

Enumeration date
03/03/2011
Last updated
03/03/2011
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