Lauren Wagoner, PHARMD

NPI #1417351636 in Champaign, Illinois

Provider Information

NPI Number: 1417351636
Entity Type: Individual
Name: Lauren Wagoner, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 17, 2014
Last Updated: Oct 20, 2014

Practice Location

Address: 1713 W SPRINGFIELD AVE
City: Champaign
State: Illinois
ZIP Code: 61821-3011
Phone: (217) 356-2529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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