| Doctor Name: | DR. CHARLES EDDIE WATERS |
| NPI Number: | 1013114685 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARMD, BCPS, CGP |
| License Number: | RPH023088 |
| Business Practice Address: | 1411 W Baddour Pkwy Lebanon, TN - 370872513 |
| Business Phone Number: | 6783140983 |
| Business Fax Number: | |
| Mailing Address: | 1411 W Baddour Pkwy, LEBANON |
| State: | TN |
| Postal Code: | 370872513 |
| Phone Number: | 6783140983 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | RPH023088 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |