Mary A Wagner, RPH

NPI #1386860484 in Fairbanks, Alaska

Provider Information

NPI Number
1386860484
Entity Type
Individual
Name
Mary A Wagner, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Apr 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1650 COWLES ST
State
Alaska
ZIP Code
99701-5925
Phone
(907) 458-5610

Specialties & Taxonomy Codes

Specialty
Pharmacist

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