Individual
MR. JOHN CRAIG WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
510 CORONADO ST, BONNER SPRINGS, KS 66012-1203
(913) 441-6935
Mailing address
510 CORONADO ST, BONNER SPRINGS, KS 66012-1203
(913) 441-6935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10447
KS
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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