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Individual

WANDA K WEATHERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1060 GAFFNEY RD, BLDG 4076, FT WAINWRIGHT, AK 99703-5002
(907) 361-5435
(907) 361-4838
Mailing address
1060 GAFFNEY RD, BLDG 4076, FT WAINWRIGHT, AK 99703-7440
(907) 361-5435
(907) 361-4838

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13282
NC

Other

Enumeration date
12/14/2006
Last updated
10/26/2016
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