Individual provider · Type 1 NPI

Danielle Waggoner, RPH

Pharmacist · Charleston, IL

NPI number 1043814916 Active

Practice location

501 W Lincoln Ave
Charleston, IL 61920-2443

Mailing address

29 Fairway Ln
Mattoon, IL 61938-9015

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051.289971 (IL)

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 1043814916

Danielle Waggoner, RPH's National Provider Identifier is 1043814916, issued on Nov 22, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Charleston, IL. The record was last updated on Nov 22, 2020.