Provider Demographics
NPI:1750726683
Name:MATTHEWS, WHITTNEY HOWELL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WHITTNEY
Middle Name:HOWELL
Last Name:MATTHEWS
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 1:800 LAKESHORE PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-4447
Mailing Address - Country:US
Mailing Address - Phone:205-726-2011
Mailing Address - Fax:
Practice Address - Street 1:1501 23RD AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4027
Practice Address - Country:US
Practice Address - Phone:601-482-4003
Practice Address - Fax:601-482-3948
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19727183500000X
MSE-14517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSE-14517OtherPHARMACIST
AL19727OtherPHARMACIST