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NPI Code Detail

MEDICARE: DR. BRIAN JEFFREY WATKINS PHARMD,RPH

MEDICARE: DR. BRIAN JEFFREY WATKINS PHARMD,RPH
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
1183500000XPharmacistPS39396FL

General Provider Information

NPI Number : 1922611292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN JEFFREY WATKINS PHARMD,RPH
Provider Business Mailing Address
First Line : 1587 N COURTENAY PKWY
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4454
Country : US
Telephone Number : 321-459-1647
Fax Number : 321-459-1201
Provider Business Practice Location Address
First Line : 1587 N COURTENAY PKWY
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4454
Country : US
Telephone Number : 321-459-1647
Fax Number : 321-459-1201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 08/26/2020

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