Individual
MRS. BEVERLY ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2819 CHURCH AVE, BROOKLYN, NY 11226-4168
(718) 940-3461
(718) 462-6057
Mailing address
2819 CHURCH AVE, BROOKLYN, NY 11226-4168
(718) 940-3461
(718) 462-6057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045487-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01796143
—
NY
Enumeration date
12/28/2007
Last updated
12/28/2007
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