Provider Demographics
NPI:1770338881
Name:BITTNER, BRITTANY (PHARMD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BITTNER
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 1:4840 SAINT WENDEL CYNTHIANA RD
Mailing Address - Street 2:
Mailing Address - City:WADESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47638-9609
Mailing Address - Country:US
Mailing Address - Phone:217-918-0527
Mailing Address - Fax:
Practice Address - Street 1:609 N SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5554
Practice Address - Country:US
Practice Address - Phone:812-424-3894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019632183500000X
IN26024118A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist