Individual provider · Type 1 NPI

Richard Wagoner

Pharmacist · Mount Olive, NC

NPI number 1912359019 Active

Practice location

1019 N Breazeale Ave
Mount Olive, NC 28365-1105

Call (919) 658-2554 Map

Mailing address

2937 Lowell Dr
Burlington, NC 27217-6071

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26001 (NC)

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 1912359019

Richard Wagoner's National Provider Identifier is 1912359019, issued on Jul 13, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mount Olive, NC. The record was last updated on Jul 13, 2016.