Individual
DEBRA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
(616) 685-6105
Mailing address
7264 TYLER PINES AVE, HUDSONVILLE, MI 49426-9793
(616) 669-1997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025143
MI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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