AUSTIN WAGNER

NEWPORT BEACH, CA
NPI1750041307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  85751)
Enumeration Date2021-12-22
Last Update Date2021-12-22
Business Address
AUSTIN WAGNER PharmD
351 HOSPITAL RD STE 107
NEWPORT BEACH, CA 92663-3503
Phone number: 949-764-6580
Mailing Address
AUSTIN WAGNER PharmD
24745 STEWART ST
LOMA LINDA, CA 92350-1719
Phone number: