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Individual

DAVID E WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
990 BAXTER AVE, LOUISVILLE, KY 40204-2064
(502) 585-3239
(502) 583-3162
Mailing address
4001 MOEHERR CT, LOUISVILLE, KY 40299-4485
(502) 261-0758

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007291
KY

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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