Individual provider · Type 1 NPI

Matthew Darby Wagoner, RPH

Pharmacist · Hewitt, TX

NPI number 1033705363 Active

Practice location

511 N Hewitt Dr Ste 1
Hewitt, TX 76643-3093

Fax (254) 666-5002

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X37261 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1033705363

Matthew Darby Wagoner, RPH's National Provider Identifier is 1033705363, issued on Dec 21, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hewitt, TX. The record was last updated on Jan 29, 2021.