Individual
DR. JUSTIN WATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
431 FORT ST, BUFFALO, WY 82834-1805
(307) 684-7003
(307) 684-7348
Mailing address
431 FORT ST, BUFFALO, WY 82834-1805
(307) 684-7003
(307) 684-7348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4246
WY
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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