Waters, C. Dustin

Waters, C. Dustin is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Waters, C. Dustin can be contacted via phone (208) 367-3436.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X P6019 Idaho

Profile Details

NPI number 1780804435
LBN Legal business name Waters, C. Dustin
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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