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Individual

CASEY WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
400 OLD FRANKLIN TPKE, ROCKY MOUNT, VA 24151-5857
(540) 483-2667
(540) 483-1624
Mailing address
70 HOLLY KNOLL DR, ROCKY MOUNT, VA 24151-2132
(540) 493-5993

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212247
VA
183500000X
Pharmacist
P9866
ID
183500000X
Pharmacist
RPH70768
CA

Other

Enumeration date
10/27/2020
Last updated
08/05/2024
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