Individual
DR. CASEY RAY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3121 UNIVERSITY AVE, SUNCREST PHARMACY, MORGANTOWN, WV 26505
(304) 599-2159
Mailing address
3121 UNIVERSITY AVE, SUNCREST PHARMACY, MORGANTOWN, WV 26505
(304) 599-2159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007138
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0007138
PHARMACY LICENSE NUMBER
WV
Enumeration date
08/13/2008
Last updated
04/08/2014
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