Individual
MATTHEW WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24276 166TH STREET, AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-0650
Mailing address
24276 166TH STREET, AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-0650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.299068
IL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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