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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL L WADDELL II, RPH

Active Sole Proprietor

MR. SAMUEL L WADDELL II, RPH is a Pharmacist healthcare provider located in SITKA, Kentucky. NPI 1083756019 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SITKA, KY

Registration Details

NPI Number
1083756019
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2007 (19.501694164104 yrs)
Last Updated
Mar 21, 2017
Licenses
011108 (KY)
011108 (KY)
Sole Proprietor
Yes

Practice Information

Address
377 MEADE BR
SITKA, KY, 412559335
Browse KY providers · Browse ZIP 41255
Phone
6063696356
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Geriatric Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.