Provider Demographics
NPI:1285832816
Name:LITT, JEFFREY T (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:T
Last Name:LITT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5559 97TH WAY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33708-3431
Mailing Address - Country:US
Mailing Address - Phone:727-392-5554
Mailing Address - Fax:727-392-5554
Practice Address - Street 1:6095 9TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6201
Practice Address - Country:US
Practice Address - Phone:727-384-4914
Practice Address - Fax:727-345-5543
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS22891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist