Individual
DR. REBECCA BITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1201 S 25TH E, PHARMACY, AMMON, ID 83406-5729
(715) 490-2612
Mailing address
1201 SOUTH 25TH STREET, PHARMACY, AMMON, ID 83406
(715) 490-2612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
050968
NY
183500000X
Pharmacist
16276040-40
WI
183500000X
Pharmacist
49989861701
UT
183500000X
Pharmacist
Primary
P7303
ID
Other
Enumeration date
03/30/2007
Last updated
07/15/2015
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