Individual
LARRY JAMES WITTMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
411 3RD AVE S, CLEAR LAKE, SD 57226
(605) 874-8220
(605) 874-8218
Mailing address
PO BOX 917, CLEAR LAKE, SD 57226-0917
(605) 874-2036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3780
SD
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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