Provider Demographics
NPI:1679733505
Name:WHITAKER, JOSEPH CHAPMAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CHAPMAN
Last Name:WHITAKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 W 30 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-2252
Mailing Address - Country:US
Mailing Address - Phone:435-865-5303
Mailing Address - Fax:
Practice Address - Street 1:2302 W 30 N
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-2252
Practice Address - Country:US
Practice Address - Phone:435-865-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist