Mr Keith A Witt, RPH is a
Pharmacist based in East Troy, Wisconsin. Mr Keith A Witt is licensed to practice in Wisconsin (license number 11834-040) and his current practice location is
3284 Main St, East Troy, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 642-3510.
NPI number for Mr Keith A Witt is 1063493047 and his current mailing address is 3284 Main St, P.o. Box 255, East Troy, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063493047.
Healthcare Provider's Profile
| Full Name | Mr Keith A Witt |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 3284 Main St, East Troy, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063493047
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 03/19/2013
Medical Identifiers
Medical identifiers for Mr Keith A Witt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063493047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 051-033918 (Illinois) | Secondary |
| 183500000X | Pharmacist | 11834-040 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith A Witt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Keith A Witt, RPH
3284 Main St, P.o. Box 255,
East Troy, WI 53120-1152
Ph: (262) 642-3510 | Mr Keith A Witt, RPH
3284 Main St,
East Troy, WI 53120-1152
Ph: (262) 642-3510 |
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