Waggoner, Donald Scott

Waggoner, Donald Scott is an sole proprietor health care provider with primary practice located at 2240 Winrow Ave Usa Meddac, Rwbach, Fort Huachuca AZ 85613. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Waggoner, Donald Scott can be contacted via phone (520) 533-9025.

Contact Information

Primary practice address
2240 Winrow Ave Usa Meddac, Rwbach Fort Huachuca AZ 85613
Phone: (520) 533-9025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X S012193 Arizona

Profile Details

NPI number 1780835587
LBN Legal business name Waggoner, Donald Scott
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2008
Last updated Oct 10th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780835587 NPPES
Arizona Other S012193 STATE BOARD OF PHARMACY

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