Wagner Drug Corporation
NPI #1497969414 in Coronado, California
Provider Information
- NPI Number
- 1497969414
- Entity Type
- Organization
- Organization Name
- Wagner Drug Corporation
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 9, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1106 ORANGE AVE
- City
- Coronado
- State
- California
- ZIP Code
- 92118-3407
- Phone
- (619) 435-4171
Authorized Official
- Name
- MR. CHARLES LANIER WAGNER, RPH
- Title
- PRESIDENT
- Phone
- (619) 435-4171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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