Provider Demographics
NPI:1285736181
Name:KNITTEL, ALICE GAWRON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:GAWRON
Last Name:KNITTEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:421 N MAIN ST
Mailing Address - Street 2:VAMC
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9764
Mailing Address - Country:US
Mailing Address - Phone:413-584-4040
Mailing Address - Fax:413-582-3113
Practice Address - Street 1:421 N MAIN ST
Practice Address - Street 2:VAMC
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9764
Practice Address - Country:US
Practice Address - Phone:413-584-4040
Practice Address - Fax:413-582-3113
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-204661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy