Organization
WATERTOWN DRUGS, INC
Active
Other names
Watertown Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE S MATHIS DPH (OWNER)
(615) 237-0054
Entity
Organization
Contact information
Practice address
406 PUBLIC SQ, WATERTOWN, TN 37184-1421
(615) 237-0054
(615) 237-0016
Mailing address
406 PUBLIC SQ, WATERTOWN, TN 37184-1421
(615) 237-0054
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120449
PK
—
05
—
Q035515
—
TN
Enumeration date
06/03/2009
Last updated
12/02/2020
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