Provider Demographics
NPI:1447545009
Name:SITZMAN, SCOTT JOHN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:JOHN
Last Name:SITZMAN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S DUFF AVE
Mailing Address - Street 2:T1170
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6644
Mailing Address - Country:US
Mailing Address - Phone:515-663-9645
Mailing Address - Fax:515-663-9645
Practice Address - Street 1:320 S DUFF AVE
Practice Address - Street 2:T1170
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6644
Practice Address - Country:US
Practice Address - Phone:515-663-9645
Practice Address - Fax:515-663-9645
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIA19033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist