Provider Demographics
NPI:1992707640
Name:WATERBURY, NANCEE VIRGINIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NANCEE
Middle Name:VIRGINIA
Last Name:WATERBURY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HIGHWAY 6 W
Mailing Address - Street 2:PHARMACY SERVICE (119)
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2292
Mailing Address - Country:US
Mailing Address - Phone:319-338-0581
Mailing Address - Fax:319-887-4951
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:319-887-4951
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA193721835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care