DR. Jason Ryan Wachtl, PHARM.D., BCACP, CGP

NPI #1558507558 in Bloomington, Minnesota

Provider Information

NPI Number: 1558507558
Entity Type: Individual
Name: DR. Jason Ryan Wachtl, PHARM.D., BCACP, CGP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D., BCACP, CGP
Enumeration Date: Dec 21, 2008
Last Updated: Jun 17, 2014

Practice Location

Address: 10501 FLORIDA AVE S
City: Bloomington
State: Minnesota
ZIP Code: 55438-2553
Phone: (952) 854-1190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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