Individual
JOHN DAVIE WAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2059 CAROLINA BEACH RD, WILMINGTON, NC 28401-7239
(910) 762-6278
(910) 343-0710
Mailing address
612 BAYSHORE DR, WILMINGTON, NC 28411-9419
(910) 686-1661
(910) 686-1675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7169
BOARD OF PHARMACY
NC
Enumeration date
03/30/2007
Last updated
07/08/2007
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