Provider Demographics
NPI:1851987564
Name:WHITFIELD, ALANNA BLAIR (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:BLAIR
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:ALANNA
Other - Middle Name:BLAIR
Other - Last Name:WHITFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:STILLMORE
Mailing Address - State:GA
Mailing Address - Zip Code:30464-0334
Mailing Address - Country:US
Mailing Address - Phone:478-494-1803
Mailing Address - Fax:
Practice Address - Street 1:507 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-1714
Practice Address - Country:US
Practice Address - Phone:800-575-3160
Practice Address - Fax:877-477-2499
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0303991835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric