Wagners Pharmacy

NPI #1114016235 in Louisville, Kentucky

Provider Information

NPI Number: 1114016235
Entity Type: Organization
Organization Name: Wagners Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Oct 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3113 S 4TH ST
City: Louisville
State: Kentucky
ZIP Code: 40214-1710
Phone: (502) 375-3800

Authorized Official

Name: MS. LEE WAGNER II, RPH
Title: OWNER/PRESIDENT
Phone: (502) 375-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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