MEDICARE: DR. DANIELLE WATSON PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS50991	FL

General Provider Information

NPI Number	:	1841623774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE WATSON PHARMD

Provider Business Mailing Address
First Line	:	3051 S PALM AIRE DR
Second Line	:	UNIT 206
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4277
Country	:	US
Telephone Number	:	603-723-2767
Fax Number	:

Provider Business Practice Location Address
First Line	:	7229 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1004
Country	:	US
Telephone Number	:	603-723-2767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	08/14/2013

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