Provider Demographics
NPI:1922343011
Name:WASHER, COURTNEY DIONNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DIONNE
Last Name:WASHER
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 1:125 SANDERS CT
Mailing Address - Street 2:
Mailing Address - City:BRUSH CREEK
Mailing Address - State:TN
Mailing Address - Zip Code:38547-4673
Mailing Address - Country:US
Mailing Address - Phone:615-655-3667
Mailing Address - Fax:
Practice Address - Street 1:126 MARKET ST
Practice Address - Street 2:
Practice Address - City:RED BOILING SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37150-2271
Practice Address - Country:US
Practice Address - Phone:615-699-2509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist