Individual
JILL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
729 ODD FELLOWS RD, CROWLEY, LA 70526-2216
(337) 783-2153
Mailing address
729 ODD FELLOWS RD, CROWLEY, LA 70526-2216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021195
LA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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