Individual
DR. CHRISTIAN CASEY WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, CPP
Contact information
Practice address
1602 PROVIDENCE RD S, WAXHAW, NC 28173-8314
(304) 320-1399
Mailing address
1383 WHISTLING LN, YORK, SC 29745-7708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28227
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
700398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y
Y
—
Enumeration date
10/12/2018
Last updated
10/05/2022
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