Diana Lynn Wackel, RPH

NPI #1043230949 in Wagner, South Dakota

Provider Information

NPI Number: 1043230949
Entity Type: Individual
Name: Diana Lynn Wackel, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 111 WASHINGTON AVE NW
City: Wagner
State: South Dakota
ZIP Code: 57380
Phone: (605) 384-3621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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