Individual provider · Type 1 NPI

Stacy Waterman, PharmD

Pharmacist · Fort Wayne, IN

NPI number 1164912465 Active

Practice location

11109 Parkview Plaza Drive, Pharmacy Department
Fort Wayne, IN 46845

Call (260) 266-4400 Map

Mailing address

12723 Capshaw Ct
Fort Wayne, IN 46845-2337

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X03331241 (OH)
Pharmacist Primary 183500000X26024153A (IN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164912465

Stacy Waterman, PharmD's National Provider Identifier is 1164912465, issued on May 14, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 14, 2018.