| NPI | 1427493659 |
|---|---|
| Doing Business As | WAGNER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MASSEY Pharmacist/President 573-718-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20712) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-03-26 |