# MR. MICHAEL JOHN SITA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114200797
- **Gender:** Man
- **Credential:** R.PH.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 029435 | MO | Yes |
| 183500000X | Pharmacist | 051031158 | IL | — |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1932116944 | NPI NUMBER | MO |
| 01 | — | 2630970 | NABP NUMBER | MO |
| 01 | — | 361924025 | TAX ID | MO |