Individual
MARTHA ANDERSON DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5900 TIMBER RIDGE DR, PROSPECT, KY 40059-8131
(502) 228-3304
(502) 228-3584
Mailing address
5900 TIMBER RIDGE DR, PROSPECT, KY 40059-8131
(502) 228-3304
(502) 228-3584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010580
KY
183500000X
Pharmacist
11351
AL
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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