Provider Demographics
NPI:1902487341
Name:WITT, CURT (RPH)
Entity Type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:WITT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4199 HIGHWAY 407
Mailing Address - Street 2:
Mailing Address - City:FRENCH CAMP
Mailing Address - State:MS
Mailing Address - Zip Code:39745-9517
Mailing Address - Country:US
Mailing Address - Phone:601-832-2584
Mailing Address - Fax:662-682-9132
Practice Address - Street 1:101 W SWEET POTATO ST
Practice Address - Street 2:
Practice Address - City:VARDAMAN
Practice Address - State:MS
Practice Address - Zip Code:38878-9433
Practice Address - Country:US
Practice Address - Phone:662-682-7489
Practice Address - Fax:662-682-9132
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSDF-7111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist