MR. Daniel Gordon Wagner, RPH
NPI #1477157873 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1477157873
- Entity Type
- Individual
- Name
- MR. Daniel Gordon Wagner, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Nov 25, 2020
- Last Updated
- Nov 25, 2020
Practice Location
- Address
- 1350 LEE BLVD
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33936-4846
- Phone
- (239) 369-2163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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