Individual
TROY WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
625 DAVIS AVE, CORNING, IA 50841-1616
(641) 322-3722
Mailing address
625 DAVIS AVE, CORNING, IA 50841-1616
(641) 322-3722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17673
IA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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