KENNETH WAGNER

LEWISTON, ME
NPI1588941462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: ME  pr3110)
Enumeration Date2011-11-07
Last Update Date2011-11-07
Business Address
-- KENNETH WAGNER
27 EAST AVE
LEWISTON, ME 04240-6645
Phone number: 207-784-6666
Mailing Address
-- KENNETH WAGNER
21 PEARL ST
LEWISTON, ME 04240-5645
Phone number: 207-784-3294
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