Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE WITYCZAK, PHARMD
Active Sole ProprietorJESSE WITYCZAK, PHARMD is a Ambulatory Care Pharmacist healthcare provider located in LONG BEACH, Washington. NPI 1558724302 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Care Pharmacist · LONG BEACH, WA
Registration Details
- NPI Number
- 1558724302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2016 (10.414409157019 yrs)
- Last Updated
- Mar 30, 2016
- License
-
PH60465766 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BOLSTAD AVE ELONG BEACH, WA, 98631Browse WA providers · Browse ZIP 98631
- Phone
- 3606422349
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.