Richard Ross Wagner, RPH

NPI #1326359423 in Port Orchard, Washington

Provider Information

NPI Number: 1326359423
Entity Type: Individual
Name: Richard Ross Wagner, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 23, 2010
Last Updated: Jun 23, 2010

Practice Location

Address: 3282 BETHEL RD SE
City: Port Orchard
State: Washington
ZIP Code: 98366-5603
Phone: (360) 876-0969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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