Provider Demographics
NPI:1700477031
Name:LICHTNER, WHITNEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:LICHTNER
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 1:1 W LAKESHORE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7269
Mailing Address - Country:US
Mailing Address - Phone:205-945-8081
Mailing Address - Fax:205-945-8508
Practice Address - Street 1:1 W LAKESHORE DR STE 102
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-7269
Practice Address - Country:US
Practice Address - Phone:205-945-8081
Practice Address - Fax:205-945-8508
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist