Individual
DONNA P WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 16TH AVE STE 1, LEWISTON, ID 83501-3768
(208) 743-5528
(208) 746-2785
Mailing address
1301 VINEYARD AVE, LEWISTON, ID 83501-4200
(509) 289-9021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6990
ID
183500000X
Pharmacist
PH60431847
WA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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