Individual
PRESTON JAMES WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
13687 SUMMIT DRIVE, CLIVE, IA 50325-5032
(515) 225-3046
Mailing address
13687 SUMMIT DR, CLIVE, IA 50325-8661
(515) 225-3046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
16824
IA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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