IndividualActive
Charles Waters, PHARMD, BCPS, CGP
NPI 1013114685 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Lebanon, TN
Provider details
- NPI number
- 1013114685
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD, BCPS, CGP
- Sex
- Male
- Sole proprietor
- No
- License
- 0000036217 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone: (678) 314-0983
Approximate (ZIP-level) locationGet directions
Mailing address
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2012-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.