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General NPI Number Information
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NPI Number | 1528073137
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Entity Type | Organization
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Legal Business Name | WHITAKER'S PHARMACY
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 213 S JL TYRE ST
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City | SCREVEN
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State | GA
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Zip | 31560-0099
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Country | US
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Telephone | 912-579-2215
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Fax | 912-579-2360
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | SCREVEN
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State | GA
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Zip | 31560-0099
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM WHITAKER
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Credential | RPH
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Telephone | 912-579-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHRRE006063
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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