Larry James Wittmeier, PHARMACIST
NPI #1063500585 in Clear Lake, South Dakota
Provider Information
- NPI Number
- 1063500585
- Entity Type
- Individual
- Name
- Larry James Wittmeier, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 411 3RD AVE S
- City
- Clear Lake
- State
- South Dakota
- ZIP Code
- 57226
- Phone
- (605) 874-8220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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