# ROBERT WATTS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437160942
- **Authorized official:** ROBERT WATTS (OWNER)
- **Authorized official phone:** (601) 833-3160

## Contact information

- **Practice address:** 515 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
- **Practice address phone:** (601) 833-3160
- **Practice address fax:** (601) 835-0430
- **Mailing address:** 515 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 01781 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030255 | — | MS |
| 01 | — | 2513756 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |