Individual
DR. ANGELA REE WACKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
130 W RAVINE RD STE 101, KINGSPORT, TN 37660-3837
(423) 224-6860
(423) 224-5657
Mailing address
130 W RAVINE RD STE 101, KINGSPORT, TN 37660-3837
(423) 224-6860
(423) 224-5657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13012
TN
183500000X
Pharmacist
16086
CO
Other
Enumeration date
07/05/2010
Last updated
12/23/2022
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