MR. Brian L Watta, RPH

NPI #1275855363 in Plainview, New York

Provider Information

NPI Number: 1275855363
Entity Type: Individual
Name: MR. Brian L Watta, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 17, 2010
Last Updated: Feb 17, 2010

Practice Location

Address: 45 S SERVICE RD
City: Plainview
State: New York
ZIP Code: 11803-4100
Phone: (516) 396-8842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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