| NPI | 1548390115 |
|---|---|
| Doing Business As | WAGNER INDIAN HEALTH CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES CUMMINGS Pharmacy Program Specialist 405-951-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: SD 3860) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-02-20 |