Individual
JUSTUS WATTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4021 AVENUE B, PHARMACY DEPARTMENT, SCOTTSBLUFF, NE 69361-4602
(308) 630-1262
Mailing address
2932 19TH AVE, SCOTTSBLUFF, NE 69361-1845
(308) 631-1528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12098
NE
183500000X
Pharmacist
3021
WY
Other
Enumeration date
08/11/2005
Last updated
09/06/2023
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