Individual
CRYSTAL CHAPMAN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
428 MCNULTY ST, #4, BLYTHEWOOD, SC 29016-8926
(803) 786-0331
Mailing address
PO BOX 949, BLYTHEWOOD, SC 29016-0949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12549
SC
183500000X
Pharmacist
23071
NC
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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