Payton Augustine
Pharmacist in Waterloo, IA. Individual provider (NPI-1).
NPI number1134898745
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1134898745
- Entity type
- Individual (NPI-1)
- Name
- Payton Augustine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2021
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 24146 | IA | Yes |
Practice location
1970 Falcon RdgWaterloo, IA 50701-9343
Phone 319-290-8857
Mailing address
1970 Falcon RdgWaterloo, IA 50701-9343
Phone 319-290-8857
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