Organization
DUANE WATERS CORRECTIONAL PHARMACY
Active
Other names
Pharmacorr
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY COURSER RPH (DIRECTOR)
(517) 780-5474
Entity
Organization
Contact information
Practice address
3857 COOPER ST, JACKSON, MI 49201-7547
(517) 780-5479
Mailing address
3857 COOPER ST, JACKSON, MI 49201-7547
(517) 780-5479
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
03/07/2023
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