Search › Illinois › 183500000X
Jason Waggoner, RPH
NPI 1033713524 · on the registry since 2020
Practice
- Address
- 1316 Charleston Ave
Mattoon, IL 61938 - Phone
- (217) 258-2920
- Organisation at this address
- Highland Park Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois