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

DR. KELLEY CHILDRESS WAGONER, PHARM.D., R.PH.

Active

DR. KELLEY CHILDRESS WAGONER, PHARM.D., R.PH. is a Pharmacist healthcare provider located in BEAUFORT, North Carolina. NPI 1568799039 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BEAUFORT, NC

Registration Details

NPI Number
1568799039
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2009 (16.754100892035 yrs)
Last Updated
Mar 7, 2014
License
13866 (NC)

Practice Information

Address
708 HIGHWAY 70 EAST
OTWAY
BEAUFORT, NC, 285167273
Browse NC providers · Browse ZIP 28516
Phone
2528381540
Fax
2528381545
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BEAUFORT, NC

Name Credential NPI
DR. AMANDA WHITEHEAD BOYD PHARM D 1821085853
MR. RICHARD H. GROSSHEIM RPH 1467683441
CRAIG MINTER RPH 1992032668
DR. KELLI SELFE PHARMD 1396052213
MS. RENEE FOWLER LATON RPH 1487952560
MRS. NICKI GUY NEWMAN RPH 1871886192
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.