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Individual

MR. JAMES ROBERT WATTS II

Active
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Individual

MR. JAMES ROBERT WATTS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R. PH.

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6388
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4214627
NABP NUMBER-FAMILY PHARM
SC
01
—
4225050
NABP -AIKEN COMPOUND PHAR
SC
01
—
50-007327
PHCY LICENSE- AIKEN COMPD
SC
01
—
57-0946943
FEDERAL TAX ID -MJW
SC
05
—
726932
—
SC
05
—
DME636
—
SC
01
—
SC 6388
PHARMACIST LICENSE NUMBER
SC
01
—
SC 2693
FAMILY PHARMACY LIC #
SC
Enumeration date
10/05/2005
Last updated
10/10/2011
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