OrganizationActive
Duane Waters Correctional Pharmacy
NPI 1770031957 · Prison Health Clinic/Center · Jackson, MI
Provider details
- NPI number
- 1770031957
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Courser, Director(517) 780-5474
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3857 Cooper St
Jackson, MI 49201-7547
Phone: (517) 780-5479
Approximate (ZIP-level) locationGet directions
Mailing address
3857 Cooper St
Jackson, MI 49201-7547
Other names (DBA / former)
- Other name
- Pharmacorr
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.