SHANNON M DEWITT

FORT WAYNE, IN
NPI1952512196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26019698A)
Additional Taxonomies183500000X Pharmacist
(Licence: OH  03-2-23033)
Enumeration Date2007-05-26
Last Update Date2007-07-08
Business Address
Ms. SHANNON M DEWITT PharmD
7950 W JEFFERSON BLVD PHARMACY-SECOND FLOOR
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7702
Mailing Address
Ms. SHANNON M DEWITT PharmD
1400 WAYNEDALE DR
GARRETT, IN 46738-2073
Phone number: 260-357-1731