Individual
KAITLYN WITTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHAMD
Contact information
Practice address
8989 W DODGE RD, OMAHA, NE 68114-3301
(402) 393-2029
Mailing address
8989 W DODGE RD, OMAHA, NE 68114-3301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16127
NE
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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