Individual
DR. JOHNATHON WATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1201 W 136TH ST, KANSAS CITY, MO 64145-1647
(816) 412-0109
(816) 412-9066
Mailing address
1201 W 136TH ST, KANSAS CITY, MO 64145-1647
(816) 412-0109
(816) 412-9066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-16690
KS
183500000X
Pharmacist
Primary
2014028948
MO
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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