Ethan Pennywitt, PHARMD

NPI #1023738077 in Gaylord, Michigan

Provider Information

NPI Number: 1023738077
Entity Type: Individual
Name: Ethan Pennywitt, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 30, 2022
Last Updated: Aug 30, 2022

Practice Location

Address: 419 W MAIN ST
City: Gaylord
State: Michigan
ZIP Code: 49735-1859
Phone: (989) 732-5220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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