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Jimmy Watts

Pharmacist in Marianna, FL. Individual provider (NPI-1).

NPI number1164087698
StatusActive
Last updated in NPPESMay 9, 2019

Details

NPI
1164087698
Entity type
Individual (NPI-1)
Name
Jimmy Watts
Sex
Male
Sole proprietor
No
Enumeration date
May 9, 2019
Last updated
May 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS14142FLYes

Practice location

4314 5th Ave
Marianna, FL 32446-2182

Phone 850-482-3924

Mailing address

4314 5th Ave
Marianna, FL 32446-2182

Phone 850-482-3924

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