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Individual

DR. IAN ANDREW WAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 953-9823
Mailing address
5263 E BARN CIR, WASILLA, AK 99654-5902
(907) 953-9823

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6224
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P6224
PHARMACIST
ID
Enumeration date
11/14/2008
Last updated
04/09/2024
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