NPI 1013114685

Charles Eddie Waters, PHARMDBCPSCGP

Practitioner Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Lebanon, TN

Practice location

Address: 1411 W Baddour Pkwy, Lebanon, TN 37087-2513
Phone: (678) 314-0983

Registered specialties (2)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary

Pharmacy Service Providers Taxonomy 1835P0018X Licence 0000036217 (TN)

Other Pharmacist providers in Tennessee →

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Pharmacy Service Providers Taxonomy 1835P0018X Licence RPH023088 (GA)

Registry record

NPI: 1013114685
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2007
Record last updated: 28 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.