Dr. Jae Waggoner

Pharmacist



  
  2107 Airline Dr, Bossier City
Louisiana, 71111-3105

 318-742-5590   
Dr. Jae Waggoner is a pharmacist in Bossier City, Louisiana. Patients can reach her at 2107 Airline Dr, Bossier City or contact her on 318-742-5590. Active license number of Dr. Jae Waggoner is PST.023190 for Pharmacist in Louisiana.
Dr. Jae Waggoner is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Complete Profile:
Dr. Jae Waggoner speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name: Dr. Jae Waggoner
Specialization: Pharmacist
Credentials:PHARMD
Gender:Female
Location:2107 Airline Dr, Bossier City,
Louisiana, 71111-3105
Phone:318-742-5590
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Jae Waggoner are as mentioned below.
NPI Number: 1932750411
NPI Enumeration Date: 25 Sep, 2019
NPI Last Update On: 19 Apr, 2023

Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jae Waggoner are as mentioned below.
SpecializationLicense NumberStateStatus
Pharmacist PST.023190LouisianaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 320 Preserve Blvd,
Bossier City, Louisiana
Zip: 71112-2081
Phone Number: --
Patients can reach Dr. Jae Waggoner at 2107 Airline Dr, Bossier City, Louisiana or can call on phone at 318-742-5590.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.