Provider Demographics
NPI:1669154688
Name:PHILLIPS, WHITNEY (PHARMD, MHSA)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:PHARMD, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 E. CHEROKEE ST.
Mailing Address - Street 2:INPATIENT PHARMACY DEPARTMENT
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804
Mailing Address - Country:US
Mailing Address - Phone:417-820-2777
Mailing Address - Fax:
Practice Address - Street 1:1235 E. CHEROKEE ST.
Practice Address - Street 2:INPATIENT PHARMACY DEPARTMENT
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804
Practice Address - Country:US
Practice Address - Phone:417-820-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65868183500000X
MO2024032699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist