Individual
WAYNE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 CHURCH ST, HOUMA, LA 70360-4510
(985) 872-5201
Mailing address
300 CHURCH ST, HOUMA, LA 70360-4510
(985) 872-5201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12019
LA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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