Provider Demographics
NPI:1992004865
Name:WHITMIRE, RICHARD BUCK (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:BUCK
Last Name:WHITMIRE
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 1:600 SAINT JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-2776
Mailing Address - Country:US
Mailing Address - Phone:843-569-3114
Mailing Address - Fax:843-569-6983
Practice Address - Street 1:600 SAINT JAMES AVE
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-2776
Practice Address - Country:US
Practice Address - Phone:843-569-3114
Practice Address - Fax:843-569-6983
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist