Organization
ROBERT WATTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WATTS (OWNER)
(601) 833-3160
Entity
Organization
Contact information
Practice address
515 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
(601) 833-3160
(601) 835-0430
Mailing address
515 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
01781
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030255
—
MS
01
—
2513756
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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