Provider Demographics
NPI:1700929528
Name:WATTS, VALERIE HOOPER (BS, PHARM D, CPP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:HOOPER
Last Name:WATTS
Suffix:
Gender:F
Credentials:BS, PHARM D, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:MAIDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28650-9649
Mailing Address - Country:US
Mailing Address - Phone:828-759-4960
Mailing Address - Fax:828-759-4961
Practice Address - Street 1:212 MULBERRY ST, SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645
Practice Address - Country:US
Practice Address - Phone:828-759-4960
Practice Address - Fax:828-759-4961
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist