Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Jo Withered, REGISTEREDPHARMACIS

Individual provider Pharmacist · NPI 1679868285

Mrs. Mary Jo Withered, REGISTEREDPHARMACIS is a Pharmacist in Lafayette, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

3630 State Road 26 E T-1762
Lafayette, IN 47905-4807
Phone: (765) 447-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence IN26013681A (IN)

Record details

NPI number1679868285
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDPHARMACIS
Sole proprietorYes
NPI enumeratedJune 10, 2011
Last updated in NPPESJune 10, 2011

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