Provider Demographics
NPI:1356755870
Name:SMITH, WHITNEY RENEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:RENEE
Last Name:SMITH
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 1:15535 HEART OF THE WOODS LN
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-7895
Mailing Address - Country:US
Mailing Address - Phone:276-870-4964
Mailing Address - Fax:
Practice Address - Street 1:14025 ROCKET BOYS DRIVE
Practice Address - Street 2:
Practice Address - City:WAR
Practice Address - State:WV
Practice Address - Zip Code:24892
Practice Address - Country:US
Practice Address - Phone:304-875-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008251183500000X
VA0202210855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist