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Individual
MR. JASON EARL WATTS
Active
Individual
MR. JASON EARL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P6077
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P6077
ID
1835P1200X
Pharmacotherapy Pharmacist
P6077
ID
Other
Enumeration date
12/22/2007
Last updated
11/01/2019
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