| Doctor Name: | ROGER E WATKINS |
| NPI Number: | 1225183973 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | 04764 |
| License Number: | 04764 |
| Business Practice Address: | 110 W Second St Kenly, NC - 275420235 |
| Business Phone Number: | 9192842010 |
| Business Fax Number: | 9192842231 |
| Mailing Address: | 9409 Revell Rd, KENLY |
| State: | NC |
| Postal Code: | 275429203 |
| Phone Number: | 9192842182 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 04764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |