Provider Demographics
NPI:1760531354
Name:WHYTE, MARY ANNE MCCARRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARY ANNE
Middle Name:MCCARRY
Last Name:WHYTE
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 1:799 DEERBROOKE TRL
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-6070
Mailing Address - Country:US
Mailing Address - Phone:916-595-8955
Mailing Address - Fax:
Practice Address - Street 1:2341 SUNSET BLVD
Practice Address - Street 2:BEL AIR 518
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-4337
Practice Address - Country:US
Practice Address - Phone:916-632-0184
Practice Address - Fax:916-632-3796
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHARMACY48892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist