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Dr. Jae Waggoner, PHARMD
Pharmacist in Bossier City, Louisiana
NPI 1932750411

Jae Waggoner is a Pharmacist based in Bossier City, LA. Jae Waggoner practices in Bossier City, LA and has the professional credentials of PHARMD. The NPI Number for Jae Waggoner is 1932750411 and holds a License No. PST.023190 (Louisiana).

The current practice location address for Jae Waggoner is 2107 Airline Dr, Bossier City, LA and can be reached out via phone at 318-742-5590.

Location: 2107 Airline Dr, Bossier City, LA, 71112-2081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932750411
Provider Name
Jae Waggoner
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
2107 Airline Dr, Bossier City, LA, 71112-2081
Phone Number
318-742-5590
Fax Number
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2107 Airline Dr
City
Bossier City
State
Louisiana
Zip
71111-3105
Phone Number
318-742-5590
Fax Number
person
Provider Business Mailing Address Details
Address
2107 Airline Dr
City
Bossier City
State
Louisiana
Zip
71111-3105
Phone Number
318-742-5590
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PST.023190 (Louisiana)
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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