Duane Waters Correctional Pharmacy

NPI #1770031957 in Jackson, Michigan

Provider Information

NPI Number: 1770031957
Entity Type: Organization
Organization Name: Duane Waters Correctional Pharmacy
Primary Specialty: Clinic/Center - Prison Health
Enumeration Date: Sep 15, 2016
Last Updated: Mar 7, 2023

Practice Location

Address: 3857 COOPER ST
City: Jackson
State: Michigan
ZIP Code: 49201-7547
Phone: (517) 780-5479

Authorized Official

Name: TIMOTHY COURSER, RPH
Title: DIRECTOR
Phone: (517) 780-5474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Prison Health — Prison Health	261QP2400X	Primary

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