National Provider Identifier Database

ROLAND S WAGUESPACK MD
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

ROLAND S WAGUESPACK MD
1108 ST JAMES STREET
VACHERIE, LA70090
Phone: 225-265-4087
Fax: 225-265-4678
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ROLAND S WAGUESPACK MD

NPI Number 1790906766
Legal business name
LBN
ROLAND S WAGUESPACK MD
Authorized official ROLAND WAGUESPACK - (MD)
Entity Organization
Organization subpart No
Enumeration date 05/01/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 009974
  • LA Medicaid: 1442224

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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