Shane R Wagner, PHARMD

NPI #1922627132 in Beverly, Ohio

Provider Information

NPI Number: 1922627132
Entity Type: Individual
Name: Shane R Wagner, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 9, 2020
Last Updated: Apr 9, 2020

Practice Location

Address: 501 DIETZ LANE
City: Beverly
State: Ohio
ZIP Code: 45715
Phone: (740) 984-2305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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Organizations

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