Provider Demographics
NPI:1891575007
Name:WHITAKER DRUGS OPELIKA, LLC
Entity Type:Organization
Organization Name:WHITAKER DRUGS OPELIKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:334-559-8528
Mailing Address - Street 1:45 NORRELL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-6169
Mailing Address - Country:US
Mailing Address - Phone:334-559-8528
Mailing Address - Fax:
Practice Address - Street 1:1437 FOX RUN PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5900
Practice Address - Country:US
Practice Address - Phone:334-787-9944
Practice Address - Fax:334-787-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy