Individual
COREY DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4096 MARINER BLVD, SPRING HILL, FL 34609-2465
(352) 200-5031
Mailing address
6462 RIVER RUN BLVD, WEEKI WACHEE, FL 34607-4007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49536
FL
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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