Provider Demographics
NPI:1265870638
Name:WATSON, CHARLOTTE RIDGEWAY (RPH,CFM)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:RIDGEWAY
Last Name:WATSON
Suffix:
Gender:F
Credentials:RPH,CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W MEETING ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3866
Mailing Address - Country:US
Mailing Address - Phone:828-437-8025
Mailing Address - Fax:828-438-8755
Practice Address - Street 1:301 W MEETING ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3866
Practice Address - Country:US
Practice Address - Phone:828-437-8025
Practice Address - Fax:828-438-8755
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist