DR. Matthew James Wagner, PHARMD
NPI #1316140312 in South Chicago Heights, Illinois
Provider Information
- NPI Number
- 1316140312
- Entity Type
- Individual
- Name
- DR. Matthew James Wagner, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Jun 7, 2007
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- 3240 CHICAGO RD
- State
- Illinois
- ZIP Code
- 60411-5421
- Phone
- (708) 756-7775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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