Provider Demographics
NPI:1407635592
Name:WHITEHALL PHARMACY LLC
Entity Type:Organization
Organization Name:WHITEHALL PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-380-5810
Mailing Address - Street 1:205 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71601-4443
Mailing Address - Country:US
Mailing Address - Phone:870-380-5810
Mailing Address - Fax:
Practice Address - Street 1:3028 E WOODSON LATERAL RD
Practice Address - Street 2:
Practice Address - City:HENSLEY
Practice Address - State:AR
Practice Address - Zip Code:72065-9169
Practice Address - Country:US
Practice Address - Phone:501-486-4131
Practice Address - Fax:501-486-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy