Individual
DR. BRANDY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
245 S 2ND ST, CARSON CITY, MI 48811-9650
(989) 584-3272
(989) 584-0541
Mailing address
245 S 2ND ST, CARSON CITY, MI 48811-9650
(989) 584-3272
(989) 584-0541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302039579
PHARMACIST LICENSE
MI
01
—
5315096730
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
11/06/2017
Last updated
01/23/2021
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