Doreene Roxanne Aguayo, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Bragg, NC

NPI 1346576378 · NPPES record last updated Oct 27, 2009

Key facts

NPI
1346576378
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
PH000049194 (WA)
Practice address
Womack Army Medical Ctr
Department of Pharmacy, Clinical Pharmacy
Fort Bragg, NC 28310-5000
Phone
(910) 907-8250
Fax
(910) 907-8443
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH000049194WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH000049194 WA Yes

Addresses

Primary practice location

Womack Army Medical Ctr
Department of Pharmacy, Clinical Pharmacy
Fort Bragg, NC 28310-5000

Mailing address

8225 Foxtrail Dr
Fayetteville, NC 28311-8915
Phone (910) 907-8250

Other providers in Fort Bragg, NC

All providers in Fort Bragg, NC · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina

Sources for this page

Verify at the official NPI Registry.