IndividualActive
Debbie Waggoner, PHARMD
NPI 1720193063 · Nutrition Support Pharmacist · Little Rock, AR
Provider details
- NPI number
- 1720193063
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 8910 (AR)
Practice location
4300 W 7th St
Slot 119
Little Rock, AR 72205-5446
Phone: (501) 257-6330
Fax: (501) 257-6329
Mailing address
350 Red Oak Airpark
Cabot, AR 72023-8512
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.