Organization
WATSON PHARMACY INC
Active
Other names
Watson Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK GAZALEH (PRESIDENT/PHARMACY MANAGER)
(904) 504-2100
Entity
Organization
Contact information
Practice address
8058 OLD KINGS RD S, JACKSONVILLE, FL 32217-4102
(904) 619-5523
(904) 619-5527
Mailing address
PO BOX 24569, JACKSONVILLE, FL 32241-4569
(904) 619-5523
(904) 619-5527
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051274
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/25/2009
Last updated
02/03/2010
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