DR. Jeremy Wagner, PHARMD

NPI #1457606378 in Gillette, Wyoming

Provider Information

NPI Number: 1457606378
Entity Type: Individual
Name: DR. Jeremy Wagner, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 17, 2012
Last Updated: Jul 17, 2012

Practice Location

Address: 2000 S DOUGLAS HWY
City: Gillette
State: Wyoming
ZIP Code: 82718-5414
Phone: (307) 682-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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