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Individual

OLIVIA WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35 W UNIVERSITY PKWY, JACKSON, TN 38305-1668
(731) 660-7106
Mailing address
35 W UNIVERSITY PKWY, JACKSON, TN 38305-1668

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
023113
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
100895
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
46582
TN

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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