Provider Demographics
NPI:1568682417
Name:WHITMORE, SCOTT CHARLES (RPH)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CHARLES
Last Name:WHITMORE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9301 EAGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-7805
Mailing Address - Country:US
Mailing Address - Phone:608-848-1340
Mailing Address - Fax:608-848-1340
Practice Address - Street 1:2818 PROGRESS RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-3338
Practice Address - Country:US
Practice Address - Phone:608-216-0140
Practice Address - Fax:608-216-0144
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12829-0401835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric