Individual
DR. JEREMY RICHARD WITTWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6143 U S HIGHWAY 98 STE 80, TARGET STORE 2055, HATTIESBURG, MS 39402-4405
(601) 296-9245
(601) 329-2477
Mailing address
6143 U S HIGHWAY 98 STE 80, TARGET STORE 2055, HATTIESBURG, MS 39402-4405
(601) 296-9245
(601) 329-2477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E11881
MS
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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