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Individual

DR. CHARLES EDDIE WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCPS, CGP

Contact information

Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(678) 314-0983
Mailing address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(678) 314-0983

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0000036217
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH023088
GA

Other

Enumeration date
06/28/2007
Last updated
11/28/2012
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