Provider Demographics
NPI:1356985030
Name:MCGUIRE, WHITNEY JELLISE (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JELLISE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3102
Mailing Address - Country:US
Mailing Address - Phone:727-202-3120
Mailing Address - Fax:
Practice Address - Street 1:7500 66TH ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3102
Practice Address - Country:US
Practice Address - Phone:727-202-3120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist