Individual
KAYLA WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 S KINGSHIGHWAY, CAPE GIRARDEAU, MO 63703-5742
(573) 339-1700
(573) 339-7314
Mailing address
1 S KINGSHIGHWAY, CAPE GIRARDEAU, MO 63703-5742
(573) 339-1700
(573) 339-7314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018032028
MO
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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