MR. Steven Lyle Wagner
NPI #1679460778 in Washington Park, Illinois
Provider Information
- NPI Number
- 1679460778
- Entity Type
- Individual
- Name
- MR. Steven Lyle Wagner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 20, 2025
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 1833 KINGSHIGHWAY
- City
- Washington Park
- State
- Illinois
- ZIP Code
- 62204
- Phone
- (618) 874-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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