Alan Wagner

NPI #1104372416 in Mchenry, Illinois

Provider Information

NPI Number
1104372416
Entity Type
Individual
Name
Alan Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Aug 27, 2016
Last Updated
Aug 27, 2016

Practice Location

Address
2253 N RICHMOND RD
ZIP Code
60051-5401
Phone
(815) 578-9710

Specialties & Taxonomy Codes

Specialty
Pharmacist

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