Individual
DARRELL L WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 N JEFFERSON ST, OTTUMWA, IA 52501-2017
(641) 684-5467
(641) 683-8364
Mailing address
PO BOX 542, HEDRICK, IA 52563-0542
(641) 653-2100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21092
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356372700
—
IA
Enumeration date
03/02/2020
Last updated
03/02/2020
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