IndividualActive
C. Waters, PHARMD
NPI 1780804435 · Pharmacotherapy Pharmacist · Boise, ID
Provider details
- NPI number
- 1780804435
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P6019 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-3436
Approximate (ZIP-level) locationGet directions
Mailing address
10042 W Garverdale Dr Apt 102
Boise, ID 83704-8026
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.