Individual provider · Type 1 NPI

Debbie Lynn Waggoner, PharmD

Nutrition Support Pharmacist · Little Rock, AR

NPI number 1720193063 Active

Practice location

4300 W 7th St, Slot 119
Little Rock, AR 72205-5446

Call (501) 257-6330 Map

Fax (501) 257-6329

Mailing address

350 Red Oak Airpark
Cabot, AR 72023-8512

Specialties and licenses

TaxonomyCodeLicense
Nutrition Support Pharmacist Primary 1835N1003X8910 (AR)

Nutrition Support Pharmacist: 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.

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About NPI 1720193063

Debbie Lynn Waggoner, PharmD's National Provider Identifier is 1720193063, issued on Aug 19, 2006. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Little Rock, AR. The record was last updated on Jul 8, 2007.