Individual
JULIE WITVOET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 883-1710
Mailing address
30449 S STONEY ISLAND AVE, BEECHER, IL 60401-3208
(708) 828-2990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018506A
IN
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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