Provider Demographics
NPI:1578548160
Name:VITT, ANDREW J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:VITT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1705 GARDNER ROAD
Mailing Address - Street 2:VETERANS AFFAIRS HEALTH CARE CENTER
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405
Mailing Address - Country:US
Mailing Address - Phone:910-343-5300
Mailing Address - Fax:910-254-4055
Practice Address - Street 1:1705 GARDNER ROAD
Practice Address - Street 2:VETERANS AFFAIRS HEALTH CARE CENTER
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405
Practice Address - Country:US
Practice Address - Phone:910-343-5300
Practice Address - Fax:910-254-4055
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist