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

WAGIH SOUS

Active Sole Proprietor

WAGIH SOUS is a Pharmacist Clinician (PhC) healthcare provider located in VIDALIA, Louisiana. NPI 1609241587 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · VIDALIA, LA

Registration Details

NPI Number
1609241587
Provider Type
Individual
Gender
Male
NPI Issued
Dec 3, 2015 (10.732206728136 yrs)
Last Updated
Dec 3, 2015
License
015726 (LA)
Sole Proprietor
Yes

Practice Information

Address
4283 CARTER ST.
VIDALIA, LA, 71373
Browse LA providers · Browse ZIP 71373
Phone
3183368801
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
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.