Individual
STEPHANIE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
103 N 4TH AVE, LOGAN, IA 51546-1335
(712) 644-2160
Mailing address
103 N 4TH AVE, LOGAN, IA 51546-1335
(712) 644-2160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21266
IA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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