DR. DEBBIE LYNN WAGGONER PHARMD NPI 1720193063

NPI Information

NPI: 1720193063
Provider Name: DR. DEBBIE LYNN WAGGONER, PHARMD
Classification: Pharmacist - 1835N1003X
Entity Type: Individual

Specialization: Nutrition Support

Address:
4300 W 7TH ST
SLOT 119
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 257-6330
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DR. Debbie Lynn Waggoner, PHARMD is a nutrition support pharmacist in Little Rock, AR. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. DR. Debbie Lynn Waggoner, PHARMD NPI is 1720193063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4300 W 7TH ST
SLOT 119
LITTLE ROCK, AR
ZIP 72205-446
Phone: (501) 257-6330
Fax: (501) 257-6329

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835N1003X	Pharmacist	Nutrition Support	8910	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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