Provider Demographics
NPI:1457754210
Name:YOUNG, WHITNEY LOGAN (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:LOGAN
Last Name:YOUNG
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 1:2311 SONIAT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6425
Mailing Address - Country:US
Mailing Address - Phone:850-292-9485
Mailing Address - Fax:
Practice Address - Street 1:3130 PONTCHARTRAIN DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-4644
Practice Address - Country:US
Practice Address - Phone:985-288-6523
Practice Address - Fax:985-288-6524
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12193183500000X
LAPST.020761183500000X
FLPS49548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist