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Individual

MR. JAMES ROBERT WATTS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R. PH.

Contact information

Practice address
333 NEWBERRY ST NW, AIKEN, SC 29801-3929
(803) 649-1776
(803) 641-0205
Mailing address
333 NEWBERRY ST NW, AIKEN, SC 29801-3929
(803) 599-1776
(803) 649-7381

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6388
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4214627
NABP NUMBER-FAMILY PHARM
SC
01
4225050
NABP -AIKEN COMPOUND PHAR
SC
01
50-007327
PHCY LICENSE- AIKEN COMPD
SC
01
57-0946943
FEDERAL TAX ID -MJW
SC
05
726932
SC
05
DME636
SC
01
SC 6388
PHARMACIST LICENSE NUMBER
SC
01
SC 2693
FAMILY PHARMACY LIC #
SC
Enumeration date
10/05/2005
Last updated
10/10/2011
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