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Individual

MR. DONALD SCOTT WAGGONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2240 WINROW AVE, USA MEDDAC, RWBACH, FORT HUACHUCA, AZ 85613
(520) 533-9025
Mailing address
2240 WINROW AVE, USA MEDDAC, RWBACH, FORT HUACHUCA, AZ 85613
(520) 533-9025

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
S012193
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S012193
STATE BOARD OF PHARMACY
AZ
Enumeration date
10/10/2008
Last updated
10/10/2008
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