Provider Demographics
NPI:1821478702
Name:WATSON, BARBARA ALISON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ALISON
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 1:9510 IRIS DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1129
Mailing Address - Country:US
Mailing Address - Phone:904-401-8115
Mailing Address - Fax:
Practice Address - Street 1:4341 FEEDWIRE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-3970
Practice Address - Country:US
Practice Address - Phone:937-439-9357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06010510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH06010510OtherGRADUATE INTERN