Provider Demographics
NPI:1629298823
Name:WATSON, SHARON MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MARIE
Last Name:WATSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12051 ROCKVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-5641
Mailing Address - Country:US
Mailing Address - Phone:301-881-2225
Mailing Address - Fax:301-388-5190
Practice Address - Street 1:12051 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-5641
Practice Address - Country:US
Practice Address - Phone:301-881-2225
Practice Address - Fax:301-388-5190
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2013-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14766183500000X
MD21510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist