| Dr Kelley Childress Wagoner, PHARMD, RPH | |
|
708 Highway 70 East, Otway, Beaufort, NC 28516-7273 | |
| (252) 838-1540 | |
| (252) 838-1545 |
| Full Name | Dr Kelley Childress Wagoner |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 708 Highway 70 East, Beaufort, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568799039 | NPI | - | NPPES |
| 0165515 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 13866 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley Childress Wagoner, PHARMD, RPH 708 Highway 70 East Otway, Beaufort, NC 28516 Ph: (252) 838-1540 | Dr Kelley Childress Wagoner, PHARMD, RPH 708 Highway 70 East, Otway, Beaufort, NC 28516-7273 Ph: (252) 838-1540 |
Natalie Taylor, PHARMD, RPH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1703 Live Oak St, Beaufort, NC 28516 Phone: 252-728-4115 | |
Thomas Phinizy, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1513 Live Oak St, Beaufort, NC 28516 Phone: 252-838-1787 | |
Jessica Price, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1710 Live Oak St, Beaufort, NC 28516 Phone: 252-728-7700 | |
Dr. Kelli Selfe, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1502 Live Oak St, Beaufort, NC 28516 Phone: 252-728-1465 | |
Mr. Richard H. Grossheim, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1404 Live Oak St., Beaufort, NC 28516 Phone: 252-728-2006 Fax: 252-728-4777 | |
Ms. Renee Fowler Laton, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1710 Main St, Beaufort, NC 28516 Phone: 252-728-7700 |