Provider Demographics
NPI:1972780484
Name:WATKINS, NATALIE MARY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:MARY
Last Name:WATKINS
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 1:18311 FABLE DR
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4350
Mailing Address - Country:US
Mailing Address - Phone:301-972-4848
Mailing Address - Fax:
Practice Address - Street 1:18311 FABLE DR
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-4350
Practice Address - Country:US
Practice Address - Phone:301-972-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist