Individual
LACEY ANNETTE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6829 SW 29TH ST, TOPEKA, KS 66614-6083
(785) 228-4204
Mailing address
1335 PIN OAK CIR, OTTAWA, KS 66067-3276
(785) 248-1877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-106948
KS
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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