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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES EDDIE WATERS, PHARMD, BCPS, CGP

Active

DR. CHARLES EDDIE WATERS, PHARMD, BCPS, CGP is a Pharmacist Clinician (PhC) healthcare provider located in LEBANON, Tennessee. NPI 1013114685 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · LEBANON, TN

Registration Details

NPI Number
1013114685
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2007 (19.151157985637 yrs)
Last Updated
Nov 28, 2012
Licenses
0000036217 (TN)
RPH023088 (GA)

Practice Information

Address
1411 W BADDOUR PKWY
LEBANON, TN, 370872513
Browse TN providers · Browse ZIP 37087
Phone
6783140983
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in LEBANON, TN

Name Credential NPI
DR. BRENDA LEE MCINTYRE DPH 1538364690
AMANDA JACKSON PHARM.D. 1669008397
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.