Individual provider · Type 1 NPI

Elizabeth Wagoner, DPH

Pharmacist · Edmond, OK

NPI number 1740794007 Active

Practice location

1301 N Santa Fe Ave
Edmond, OK 73003-3673

Mailing address

4200 Shiloh Ln
Edmond, OK 73034-6904

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10611 (OK)

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 1740794007

Elizabeth Wagoner, DPH's National Provider Identifier is 1740794007, issued on Nov 24, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Edmond, OK. The record was last updated on Nov 24, 2017.