Amber Michelle Wagner

NPI #1619571288 in Lowell, Massachusetts

Provider Information

NPI Number: 1619571288
Entity Type: Individual
Name: Amber Michelle Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 24, 2020
Last Updated: Nov 24, 2020

Practice Location

Address: 35 MERRIMACK ST
City: Lowell
State: Massachusetts
ZIP Code: 01852-1721
Phone: (978) 454-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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