| NPI | 1114948163 |
|---|---|
| Doing Business As | WAGNER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMED SALEH CEO/CFO/Sec./Dir. 510-924-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY35724) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2023-07-05 |