Provider Demographics
NPI:1740262468
Name:WATTS, AIMEE MICHELE (RPH)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:MICHELE
Last Name:WATTS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7326 STATE ROUTE 19 UNIT 5606
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-9351
Mailing Address - Country:US
Mailing Address - Phone:419-947-9963
Mailing Address - Fax:
Practice Address - Street 1:510 W MARION RD
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338-1026
Practice Address - Country:US
Practice Address - Phone:419-947-8515
Practice Address - Fax:419-947-8512
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-25780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist