Rebecca Mary Wagner, PHARMD

NPI #1114264082 in St Augustine, Florida

Provider Information

NPI Number: 1114264082
Entity Type: Individual
Name: Rebecca Mary Wagner, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 11, 2013
Last Updated: Jan 11, 2013

Practice Location

Address: 84 TUSCAN WAY
City: St Augustine
State: Florida
ZIP Code: 32092-1831
Phone: (904) 940-2894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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