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Individual

DR. TANEESHA RENE' WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4100 WEST THIRD ST (119), DAYTON VAMC, DAYTON, OH 45428-9998
(937) 268-6511
Mailing address
4100 WEST THIRD ST, DAYTON VAMC, DAYTON, OH 45428
(937) 268-6511

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH.03228310-2
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH023341
GA

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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