Individual
JO ANN WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4310 HWY 101, FLORENCE, OR 97439-8832
(541) 997-3099
(541) 997-3299
Mailing address
4310 HWY 101, FLORENCE, OR 97439-8832
(541) 997-3099
(541) 997-3299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009409
BOP/STATE LICENSE NUMBER
OR
Enumeration date
02/13/2012
Last updated
02/13/2012
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