STACY WATERMAN

FORT WAYNE, IN
NPI1164912465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26024153A)
Additional Taxonomies183500000X Pharmacist
(Licence: OH  03331241)
Enumeration Date2018-05-14
Last Update Date2018-05-14
Business Address
STACY WATERMAN PharmD
11109 PARKVIEW PLAZA DRIVE PHARMACY DEPARTMENT
FORT WAYNE, IN 46845
Phone number: 260-266-4400
Mailing Address
STACY WATERMAN PharmD
12723 CAPSHAW CT
FORT WAYNE, IN 46845-2337
Phone number: 419-203-2637