Most Relevant Information
Provider Data
| NPI Number: | 1003028432 |
| Provider Name: | LISA LEE WHITAKER RPH, CDM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 8709 |
Most Important Dates
| Enumeration Date: | 05/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
922 S MAIN ST
CHESHIRE
CT
064103419
Practice Location Phone/Fax
| Phone: | 2032710282 |
| Fax: | 2032721459 |
Provider Mailing Location
250 WASHINGTON DR
SOUTHINGTON
CT
064894361
Provider Mailing Phone/Fax
| Phone: | 8606218684 |
| Fax: | 8606218684 |