Brian Edwin Wagner, PHARMD.

NPI #1811177751 in Rome, New York

Provider Information

NPI Number: 1811177751
Entity Type: Individual
Name: Brian Edwin Wagner, PHARMD.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD.
Enumeration Date: Nov 8, 2007
Last Updated: Apr 26, 2011

Practice Location

Address: 1616 BLACK RIVER BLVD N
City: Rome
State: New York
ZIP Code: 13440-3609
Phone: (315) 339-5290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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