Provider Demographics
NPI:1881202810
Name:DEWITT, GINGER LEIGH (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:LEIGH
Last Name:DEWITT
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7308 GRAYSON DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8936
Mailing Address - Country:US
Mailing Address - Phone:937-631-0847
Mailing Address - Fax:
Practice Address - Street 1:2989 DERR RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-1369
Practice Address - Country:US
Practice Address - Phone:937-390-0767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03219616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist