Stacy Waterman, PHARMD

NPI #1164912465 in Fort Wayne, Indiana

Provider Information

NPI Number
1164912465
Entity Type
Individual
Name
Stacy Waterman, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
May 14, 2018
Last Updated
May 14, 2018

Practice Location

Address
11109 PARKVIEW PLAZA DRIVE
Address 2
PHARMACY DEPARTMENT
State
Indiana
ZIP Code
46845
Phone
(260) 266-4400

Specialties & Taxonomy Codes

Specialty
Pharmacist

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