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NPI Code Detail

MEDICARE: DR. BRANDY WATSON PHARMD

MEDICARE:  DR. BRANDY  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
1183500000XPharmacist5302039579MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15302039579OTHERMIPHARMACIST LICENSE
25315096730OTHERMICONTROLLED SUBSTANCE LICENSE

General Provider Information

NPI Number : 1144733700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDY WATSON PHARMD
Provider Business Mailing Address
First Line : 245 S 2ND ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9650
Country : US
Telephone Number : 989-584-3272
Fax Number : 989-584-0541
Provider Business Practice Location Address
First Line : 245 S 2ND ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9650
Country : US
Telephone Number : 989-584-3272
Fax Number : 989-584-0541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 01/23/2021

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Directions to “ DR. BRANDY WATSON PHARMD” Practice Location

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