MR. Michael Allen Wagoner, RPH

NPI #1760781678 in Franklin, West Virginia

Provider Information

NPI Number: 1760781678
Entity Type: Individual
Name: MR. Michael Allen Wagoner, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 17, 2011
Last Updated: Mar 25, 2011

Practice Location

Address: 71 MOUNTAINEER DR
Address 2: HC 71 BOX 1F
City: Franklin
State: West Virginia
ZIP Code: 26807
Phone: (304) 358-3272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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