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NPI Code Detail

MEDICARE: GARRY WATSON

MEDICARE: GARRY WATSON
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
1183500000XPharmacistPH 60441858WA
2183500000XPharmacist9824AL

General Provider Information

NPI Number : 1871919415
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRY WATSON
Provider Business Mailing Address
First Line : 3355 BETHEL RD SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3355 BETHEL RD SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5635
Country : US
Telephone Number : 360-876-6064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2014
Last Update Date : 03/06/2014

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Directions to “ GARRY WATSON ” Practice Location

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