Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mindy Lee Waggoner, PHARMD

Individual provider Pharmacist · NPI 1063696631

Mindy Lee Waggoner, PHARMD is a Pharmacist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

5000 W National Ave
Milwaukee, WI 53295-0001
Phone: (414) 384-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14512-40 (WI)

Record details

NPI number1063696631
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 19, 2007
Mailing address5000 W National Ave, Milwaukee, WI 53295-0001

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