| NPI | 1497349047 |
|---|---|
| Doing Business As | WAGNER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAIBABU APPALANENI President 563-242-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |