Richard Wagner, RPH

NPI #1366427924 in Sammamish, Washington

Provider Information

NPI Number: 1366427924
Entity Type: Individual
Name: Richard Wagner, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 7, 2005
Last Updated: Jun 6, 2008

Practice Location

Address: 526 228TH AVE NE
City: Sammamish
State: Washington
ZIP Code: 98074-7226
Phone: (425) 868-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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