Individual
JENNIFER WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5325 E SOUTHPORT RD, INDIANAPOLIS, IN 46237-9336
(317) 859-2210
(317) 859-2265
Mailing address
5325 E SOUTHPORT RD, INDIANAPOLIS, IN 46237-9336
(317) 859-2210
(317) 859-2265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019965A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019965A
PHARMACIST LICENSE
IN
Enumeration date
05/06/2014
Last updated
05/06/2014
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