Individual
MARY ERIKA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
138 S WILLOW AVE, COOKEVILLE, TN 38501-3139
(931) 528-1565
Mailing address
138 S WILLOW AVE, COOKEVILLE, TN 38501-3139
(931) 528-1565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36890
TN
Other
Enumeration date
08/20/2012
Last updated
09/21/2015
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