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Individual

ANDREW WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11500 HANNON RD, EAGLE POINT, OR 97524
(541) 826-2670
Mailing address
2638 W MAIN ST APT 6, MEDFORD, OR 97501-3167
(541) 840-5752

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0016151
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0016151
OR

Other

Enumeration date
09/26/2017
Last updated
07/13/2018
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