| NPI | 1487248035 |
|---|---|
| Doing Business As | WAGNER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAIBABU APPALANENI President 563-242-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-06-21 |