Provider Demographics
NPI:1902819535
Name:LUNSFORD, WHITNEY TUCKER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:TUCKER
Last Name:LUNSFORD
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 1:3 MOSSY ROCK CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4441
Mailing Address - Country:US
Mailing Address - Phone:501-228-8812
Mailing Address - Fax:501-228-8812
Practice Address - Street 1:8609 W MARKHAM ST STE A
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2300
Practice Address - Country:US
Practice Address - Phone:501-225-2222
Practice Address - Fax:501-225-8683
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist