Individual
NICHOLAS MATTHEW WITUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
3107 LURLEEN B WALLACE BLVD, NORTHPORT, AL 35476-3256
(205) 333-9343
Mailing address
2505 STAG RUN CIR, BIRMINGHAM, AL 35226-2337
(610) 554-7916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16680
AL
183500000X
Pharmacist
RP443675
PA
Other
Enumeration date
08/15/2010
Last updated
12/15/2011
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