Individual
MICHAEL WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
17330 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3759
(714) 377-3056
Mailing address
2266 ALBURY AVE, LONG BEACH, CA 90815-2104
(562) 787-9338
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
53095
CA
Other
Enumeration date
07/26/2015
Last updated
07/26/2015
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