Organization
WHITLEY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK CHAMBERS (PRESIDENT)
(901) 481-1511
Entity
Organization
Contact information
Practice address
475 N HIGHWAY 25 W, SUITE 101, WILLIAMSBURG, KY 40769-1576
(606) 549-4300
(606) 549-9799
Mailing address
475 N HIGHWAY 25 W, SUITE 101, WILLIAMSBURG, KY 40769-1576
(606) 549-4300
(606) 549-9799
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54034855
—
KY
Enumeration date
02/21/2007
Last updated
09/18/2017
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