MRS. Tina Wagner, PHARMD

NPI #1134511645 in Mount Orab, Ohio

Provider Information

NPI Number
1134511645
Entity Type
Individual
Name
MRS. Tina Wagner, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Feb 21, 2015
Last Updated
Feb 21, 2015

Practice Location

Address
210 STERLING RUN BLVD
State
Ohio
ZIP Code
45154-8350
Phone
(937) 444-6911

Specialties & Taxonomy Codes

Specialty
Pharmacist

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