Maryrussell Wagstaff Laurent, PHARMD, MSCR, BCPS
NPI #1477024776 in Wilson, North Carolina
Provider Information
- NPI Number
- 1477024776
- Entity Type
- Individual
- Name
- Maryrussell Wagstaff Laurent, PHARMD, MSCR, BCPS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Ambulatory Care
- Credential
- PHARMD, MSCR, BCPS
- Enumeration Date
- Dec 12, 2018
- Last Updated
- Dec 12, 2018
Practice Location
- Address
- 303 GREEN ST E
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27893-4105
- Phone
- (252) 243-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Ambulatory Care — Ambulatory Care |
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