Provider Demographics
NPI:1851997092
Name:WATSON, KARA TIEL (PHARM-D)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:TIEL
Last Name:WATSON
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 CENTERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8908
Mailing Address - Country:US
Mailing Address - Phone:724-880-2374
Mailing Address - Fax:
Practice Address - Street 1:25 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2943
Practice Address - Country:US
Practice Address - Phone:724-438-5443
Practice Address - Fax:724-425-1114
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist