Provider Demographics
NPI:1942473582
Name:UITTO, NEAL JOHN (RPH)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:JOHN
Last Name:UITTO
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 1:2423 HIGHWAY 3 S
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-4588
Mailing Address - Country:US
Mailing Address - Phone:507-664-9029
Mailing Address - Fax:507-664-9158
Practice Address - Street 1:2423 HIGHWAY 3 S
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-4588
Practice Address - Country:US
Practice Address - Phone:507-664-9029
Practice Address - Fax:507-664-9158
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2008-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.287746183500000X
MN119237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist