Veronica Ellenmarie Wagner

NPI #1952947640 in Tallassee, Alabama

Provider Information

NPI Number: 1952947640
Entity Type: Individual
Name: Veronica Ellenmarie Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 18, 2019
Last Updated: Nov 18, 2019

Practice Location

Address: 2190 GILMER AVE
City: Tallassee
State: Alabama
ZIP Code: 36078-7123
Phone: (334) 283-6841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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