C. DUSTIN WATERS

BOISE, ID
NPI1780804435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: ID  P6019)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Dr. C. DUSTIN WATERS PharmD
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-3436
Mailing Address
Dr. C. DUSTIN WATERS PharmD
10042 W GARVERDALE DR APT 102
BOISE, ID 83704-8026
Phone number: