MR. Larry C Dittmar

NPI #1336244821 in East Jordan, Michigan

Provider Information

NPI Number: 1336244821
Entity Type: Individual
Name: MR. Larry C Dittmar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 250 S LAKE ST
City: East Jordan
State: Michigan
ZIP Code: 49727-9376
Phone: (231) 536-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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