IndividualActive
Jesse Wityczak, PHARMD
NPI 1558724302 · Ambulatory Care Pharmacist · Long Beach, WA
Provider details
- NPI number
- 1558724302
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PH60465766 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
101 Bolstad Ave E
Long Beach, WA 98631
Phone: (360) 642-2349
Approximate (ZIP-level) locationGet directions
Mailing address
1433 12th Ave
Seattle, WA 98122-3961
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.