Charles Eddie Waters in Lebanon - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist

Charles Eddie Waters - NPI 1013114685

Charles Eddie Waters is a Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist in Lebanon, Tennessee. Charles Eddie Waters practices all healthcare services and medical treatments related to Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist. The NPI Number for Charles Eddie Waters is 1013114685. The last update date is 2012-11-28.

Charles Eddie Waters's current location address is 1411 W Baddour Pkwy, Lebanon, Tennessee. You can contact this provider via phone number 6783140983. The mailing address for Charles Eddie Waters is 1411 W Baddour Pkwy, Lebanon, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Eddie Waters
Address 1411 W Baddour Pkwy, Lebanon, Tennessee
Phone Number 6783140983
Fax Number
Sole Proprietor N
Credentials PHARMD, BC

NPI Number Detail

NPI Number 1013114685
Provider Enumeration Date 2007-06-28
Last Updated Date 2012-11-28

Provider Mailing Address Detail

Address 1411 W Baddour Pkwy
City Lebanon
State Tennessee (TN)
Post Code 370872513
Phone Number 6783140983
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Taxonomy 1835P0018X
Licence No 36217
Definition:
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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FAQs about Charles Eddie Waters

What is the Charles Eddie Waters's 1013114685?

The Charles Eddie Waters's NPI (National Provider Identifier) Number is 1013114685. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Charles Eddie Waters is geographically located?

The Charles Eddie Waters is physically situated at the following location: 1411 W Baddour Pkwy, Lebanon, TN, 370872513.

What is Charles Eddie Waters's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charles Eddie Waters's specialized field of practice is Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 1835P0018X.

On what date did Charles Eddie Waters receive its 1013114685 assignment from the Centers for Medicare & Medicaid Services?

The Charles Eddie Waters was assigned its 1013114685 on 2007-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charles Eddie Waters, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Eddie Waters, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-28.

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