Individual
TERESA ORR WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
571 N LAKE CIR, EUPORA, MS 39744-4036
(662) 258-4871
Mailing address
571 N LAKE CIR, EUPORA, MS 39744-4036
(662) 258-4871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08111
MS
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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