Individual
MRS. COURTNI L WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
640 LINCOLN WAY, AMES, IA 50010-6911
(515) 233-5645
(515) 232-3537
Mailing address
640 LINCOLN WAY, AMES, IA 50010-6911
(515) 233-5645
(515) 232-3537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20630
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20630
LICENSE NUMBER
IA
Enumeration date
12/06/2007
Last updated
12/06/2007
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