Provider Demographics
NPI:1720318850
Name:PITTS, JAMI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-1641
Mailing Address - Country:US
Mailing Address - Phone:928-773-1155
Mailing Address - Fax:928-773-1011
Practice Address - Street 1:1500 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1641
Practice Address - Country:US
Practice Address - Phone:928-773-1155
Practice Address - Fax:928-773-1011
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist