Provider Demographics
NPI:1114207982
Name:LAWSON, WHITNEY (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 TUSCULUM BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4004
Mailing Address - Country:US
Mailing Address - Phone:423-638-7101
Mailing Address - Fax:423-638-9105
Practice Address - Street 1:906 TUSCULUM BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4004
Practice Address - Country:US
Practice Address - Phone:423-638-7101
Practice Address - Fax:423-638-9105
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist