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Regan Wild
NPI 1255931036 · on the registry since 2020
Practice
- Address
- 260 Sam Houston Jones Pkwy
Lake Charles, LA 70611 - Phone
- (337) 214-6402
- Fax
- (337) 214-6403
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-29
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 Louisiana