Individual
SAMUEL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 W MAIN ST, BOONVILLE, IN 47601-1567
(812) 897-8828
Mailing address
7722 W STATE ROUTE 66, NEWBURGH, IN 47630-2529
(781) 296-2204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022458A
IN
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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