| NPI | 1346172152 |
|---|---|
| Other Name | WAGNER PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | HEATHER WAGNER Pharmacist/Owner 870-561-1500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |