Individual
DR. CARRIE K WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4240 SHELBYVILLE RD, LOUISVILLE, KY 40207-3956
(502) 893-0277
Mailing address
PO BOX 6403, LOUISVILLE, KY 40206-0403
(502) 744-5520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012977
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012977
PHARMACIST LICENSE
KY
Enumeration date
09/22/2011
Last updated
09/22/2011
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