Individual
DR. JACKSON DOUGLAS WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13675 HIGHWAY 43, RUSSELLVILLE, AL 35653-2831
(256) 332-7394
Mailing address
218 ALLEN CIR, TUSCUMBIA, AL 35674-5212
(256) 668-3543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20543
AL
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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