MEDICARE: REBECCA WATTS R.PH.

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	0202004595	VA

General Provider Information

NPI Number	:	1851713259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA WATTS R.PH.

Provider Business Mailing Address
First Line	:	3764 LITHIA RD
Second Line	:
City	:	BUCHANAN
State	:	VA
Zip	:	24066-5221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3764 LITHIA RD
Second Line	:
City	:	BUCHANAN
State	:	VA
Zip	:	24066-5221
Country	:	US
Telephone Number	:	540-254-1018
Fax Number	:

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

Provider Enumeration Date	:	01/20/2014
Last Update Date	:	01/20/2014

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Directions to “ REBECCA WATTS R.PH.” Practice Location

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