Provider Demographics
NPI:1871049569
Name:WATSON, SARA FRANCES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:FRANCES
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 1:5450 QUEENSBURY LN
Mailing Address - Street 2:
Mailing Address - City:CROSS LANES
Mailing Address - State:WV
Mailing Address - Zip Code:25313-1230
Mailing Address - Country:US
Mailing Address - Phone:859-361-3570
Mailing Address - Fax:
Practice Address - Street 1:5450 QUEENSBURY LN
Practice Address - Street 2:
Practice Address - City:CROSS LANES
Practice Address - State:WV
Practice Address - Zip Code:25313-1230
Practice Address - Country:US
Practice Address - Phone:859-361-3570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist