Individual
DR. AMY POORE WITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
UNIVERSITY OF THE INCARNATE WORD, 4301 BROADWAY, CPO #99, SAN ANTONIO, TX 78209
(210) 883-1080
Mailing address
PO BOX 522, FALLS CITY, TX 78113
(830) 254-3245
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
42621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42621
PHARMACY LICENSE
TX
Enumeration date
09/29/2006
Last updated
08/06/2007
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