Provider Demographics
NPI:1205344678
Name:CAMPBELL, WHITNEY WOODWARD (PHARM D)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:WOODWARD
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-2745
Mailing Address - Country:US
Mailing Address - Phone:501-843-1489
Mailing Address - Fax:501-843-1509
Practice Address - Street 1:1848 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2745
Practice Address - Country:US
Practice Address - Phone:501-843-1489
Practice Address - Fax:501-843-1509
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD142111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist