Healthcare Provider Details

I. General information

NPI: 1821308198
Provider Name (Legal Business Name): ROBERT JOSEPH WAUGH JR. PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6611 W BELL RD
GLENDALE AZ
85308-3607
US

IV. Provider business mailing address

6611 W BELL RD
GLENDALE AZ
85308-3607
US

V. Phone/Fax

Practice location:
  • Phone: 623-334-2973
  • Fax: 623-334-2967
Mailing address:
  • Phone: 623-334-2973
  • Fax: 623-334-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13300
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: