Individual
DR. JEANETTE MARIE WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3675 E BRITANNIA DR, TUCSON, AZ 85706-5041
(520) 908-3105
Mailing address
2520 N RISING STAR TRL, TUCSON, AZ 85745-1060
(520) 908-3105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S12092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217222
NABP MONITORING
AZ
Enumeration date
03/28/2017
Last updated
03/28/2017
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