Provider Demographics
NPI:1447849096
Name:WHITSETT, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:WHITSETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WALKER DRUG
Mailing Address - Street 2:8145 ARDREY KELL ROAD
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-5720
Mailing Address - Country:US
Mailing Address - Phone:704-321-0027
Mailing Address - Fax:
Practice Address - Street 1:8145 ARDREY KELL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-5720
Practice Address - Country:US
Practice Address - Phone:704-321-0027
Practice Address - Fax:704-321-0067
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16626183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist