Heather Wagner

NPI #1528945987 in Manila, Arkansas

Provider Information

NPI Number: 1528945987
Entity Type: Individual
Name: Heather Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 18, 2025
Last Updated: Aug 18, 2025

Practice Location

Address: 3644 W STATE HIGHWAY 18
City: Manila
State: Arkansas
ZIP Code: 72442-8049
Phone: (870) 561-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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