Daniel Wackerly

NPI #1699045096 in Lake Buena Vista, Florida

Provider Information

NPI Number
1699045096
Entity Type
Individual
Name
Daniel Wackerly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jan 3, 2012
Last Updated
Jan 3, 2012

Practice Location

Address
960 BACKSTAGE LN
State
Florida
ZIP Code
32830
Phone
(407) 934-2030

Specialties & Taxonomy Codes

Specialty
Pharmacist

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