Individual
MR. WILLIAM TODD WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
104 HIGHWAY 31 NORTH, ATHENS, AL 35611
(256) 233-0181
Mailing address
238 BROCKTON DR, MADISON, AL 35756-4048
(256) 653-3463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12292
AL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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