Individual
GARY WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2451
(504) 342-8000
Mailing address
1300 LAIR AVE, METAIRIE, LA 70003-4124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.026305
LA
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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