Individual
DIANNE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13390 PERDIDO KEY DR, PENSACOLA, FL 32507-4631
(850) 492-5095
Mailing address
13390 PERDIDO KEY DR, PENSACOLA, FL 32507-4631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS35892
FL
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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