Individual
DR. DEBBIE LYNN WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4300 W 7TH ST, SLOT 119, LITTLE ROCK, AR 72205-5446
(501) 257-6330
(501) 257-6329
Mailing address
350 RED OAK AIRPARK, CABOT, AR 72023-8512
(501) 257-6330
(501) 257-6329
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
8910
AR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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