Daniel Raymond Witham, PHARMD

NPI #1164704961 in Portage, Michigan

Provider Information

NPI Number: 1164704961
Entity Type: Individual
Name: Daniel Raymond Witham, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 16, 2011
Last Updated: Sep 16, 2011

Practice Location

Address: 7920 SHAVER RD
City: Portage
State: Michigan
ZIP Code: 49024-5121
Phone: (269) 324-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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