Wayne Alan Knocke, RPh
Pharmacist in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1639166705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1639166705
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wayne Alan Knocke
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051-030337 | IL | Yes |
Practice location
551 National Health Care DrDaytona Beach, FL 32114-1495
Phone 386-323-7500
Mailing address
968 S Lakewood TerPort Orange, FL 32127-4735
Phone 386-304-3412
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