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Dr. Kelley Childress Wagoner, PHARMD,RPH
Pharmacist in Beaufort, North Carolina
NPI 1568799039

Kelley Childress Wagoner is a Pharmacist based in Beaufort, NC. Kelley Childress Wagoner practices in Beaufort, NC and has the professional credentials of PHARMD,RPH. The NPI Number for Kelley Childress Wagoner is 1568799039 and holds a License No. 13866 (North Carolina).

The current practice location address for Kelley Childress Wagoner is 708 Highway 70 East, Beaufort, NC and can be reached out via phone at 252-838-1540 and via fax at 252-838-1545.

Location: 708 Highway 70 East, Beaufort, NC, 28516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568799039
Provider Name
Kelley Childress Wagoner
Credential
PHARMD,RPH
Provider Entity Type
Individual
Gender
Female
Address
708 Highway 70 East, Beaufort, NC, 28516
Phone Number
252-838-1540
Fax Number
252-838-1545
Provider Enumeration Date
11/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0165515 05 NC
institution
Provider Business Practice Location Address Details
Address
708 Highway 70 East
City
Beaufort
State
North Carolina
Zip
28516-7273
Phone Number
252-838-1540
Fax Number
252-838-1545
person
Provider Business Mailing Address Details
Address
708 Highway 70 East
City
Beaufort
State
North Carolina
Zip
28516-7273
Phone Number
252-838-1540
Fax Number
252-838-1545
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
13866 (North Carolina)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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