Andrew Wagner, PHARMD

NPI #1992072151 in Lafayette, Alabama

Provider Information

NPI Number: 1992072151
Entity Type: Individual
Name: Andrew Wagner, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 4295 COUNTY ROAD 12
City: Lafayette
State: Alabama
ZIP Code: 36862-5209
Phone: (334) 332-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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