Timothy Patrick Wagner, RPH

NPI #1003232075 in Sidney, Montana

Provider Information

NPI Number
1003232075
Entity Type
Individual
Name
Timothy Patrick Wagner, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Mar 13, 2014
Last Updated
Mar 13, 2014

Practice Location

Address
402 E MAIN ST
City
Sidney
State
Montana
ZIP Code
59270-4633
Phone
(406) 482-1992

Specialties & Taxonomy Codes

Specialty
Pharmacist

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