Provider Demographics
NPI:1770574782
Name:WHITMAN, CRAIG BENJAMIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:BENJAMIN
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 DELAWARE AVE
Mailing Address - Street 2:APT. 1C
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-3569
Mailing Address - Country:US
Mailing Address - Phone:215-266-4880
Mailing Address - Fax:
Practice Address - Street 1:VA WESTERN NEW YORK HEALTHCARE SYSTEM
Practice Address - Street 2:3495 BAILEY AVE.
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-834-9200
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03030300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist