| NPI | 1619965357 |
|---|---|
| Doing Business As | WATTS PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WALTER JEROME PREVOST Pharmacist CEO 323-564-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY37108) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHA371080) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2011-03-10 |