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Individual

AMI JONES WITTBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1750 MADISON AVE STE 110, MEMPHIS, TN 38104-6428
(901) 274-4334
Mailing address
1750 MADISON AVE STE 110, MEMPHIS, TN 38104-6428
(901) 274-4334

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10470
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10470
STATE LICENSE NUMBER
TN
Enumeration date
09/13/2006
Last updated
07/08/2007
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  • EDI platform