| NPI | 1467150961 |
|---|---|
| Doing Business As | WAGNER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMED SALEH CEO/CFO/Sec./Dir. 714-547-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-01-28 |