Individual
DR. BRENT FORNEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
590A S MAIN ST, TEMPLETON, CA 93465-5101
(805) 434-5969
(805) 434-5967
Mailing address
1493 PAMELA COURT, TEMPLETON,, CA 93465
(805) 434-5969
(805) 434-5967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28264
CA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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