Provider Demographics
NPI:1417363854
Name:BRUNET, WHITNEY JEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JEAN
Last Name:BRUNET
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 1:103 PELICAN PL
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2983
Mailing Address - Country:US
Mailing Address - Phone:757-239-0554
Mailing Address - Fax:
Practice Address - Street 1:452 WYTHE CREEK RD
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-1936
Practice Address - Country:US
Practice Address - Phone:757-231-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist