Individual provider · Type 1 NPI

Daniel Wackerly

Pharmacist · Lake Buena Vista, FL

NPI number 1699045096 Active

Practice location

960 Backstage Ln
Lake Buena Vista, FL 32830

Call (407) 934-2030 Map

Fax (407) 934-2031

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS35907 (FL)

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 1699045096

Daniel Wackerly's National Provider Identifier is 1699045096, issued on Jan 3, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Buena Vista, FL. The record was last updated on Jan 3, 2012.