Provider Demographics
NPI:1891390589
Name:WITMER, CARL ROBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:ROBERT
Last Name:WITMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 MANADA GAP RD
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17028-9049
Mailing Address - Country:US
Mailing Address - Phone:717-460-8915
Mailing Address - Fax:
Practice Address - Street 1:6706 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1711
Practice Address - Country:US
Practice Address - Phone:717-697-1645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist