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NPI Code Detail

MEDICARE: TONY MICHAEL WATSON PHARMD

MEDICARE: TONY MICHAEL 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
1183500000XPharmacistPS 33088FL

General Provider Information

NPI Number : 1841537628
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY MICHAEL WATSON PHARMD
Provider Business Mailing Address
First Line : 5450 E BUSCH BLVD
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-5418
Country : US
Telephone Number : 813-980-6634
Fax Number :
Provider Business Practice Location Address
First Line : 5450 E BUSCH BLVD
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-5418
Country : US
Telephone Number : 813-980-6634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2013
Last Update Date : 01/13/2013

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Directions to “ TONY MICHAEL WATSON PHARMD” Practice Location

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