LAUREN WAGONER

CHAMPAIGN, IL
NPI1417351636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051298162)
Enumeration Date2014-10-17
Last Update Date2014-10-20
Business Address
LAUREN WAGONER PHARMD
1713 W SPRINGFIELD AVE
CHAMPAIGN, IL 61821-3011
Phone number: 217-356-2529
Mailing Address
LAUREN WAGONER PHARMD
1713 W SPRINGFIELD AVE
CHAMPAIGN, IL 61821-3011
Phone number: 217-356-2529
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