Most Relevant Information
Provider Data
| NPI Number: | 1003412941 |
| Provider Name: | UJJWALA WATTAL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 52968 |
Most Important Dates
| Enumeration Date: | 12/07/2020 |
| Last Updated: | 12/07/2020 |
Provider Practice Location
601 N LOOP 274
ANGLETON
TX
775153256
Practice Location Phone/Fax
| Phone: | 9798498294 |
| Fax: |
Provider Mailing Location
601 N LOOP 274
ANGLETON
TX
775153256
Provider Mailing Phone/Fax
| Phone: | 9798498294 |
| Fax: |