Individual
JANA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1949 OCONNELL BLVD, FORT CARSON, CO 80913-4043
(719) 524-2053
Mailing address
1949 OCONNELL BLVD, FORT CARSON, CO 80913-4043
(719) 524-2053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0016483
CO
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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