KACY LAMAR WAGNE

CORPUS CHRISTI, TX
NPI1811095748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TX  41074)
Enumeration Date2006-09-21
Last Update Date2010-09-30
Business Address
Dr. KACY LAMAR WAGNE PHARM.D.
5283 OLD BROWNSVILLE RD
CORPUS CHRISTI, TX 78405-3908
Phone number: 361-806-5612
Mailing Address
Dr. KACY LAMAR WAGNE PHARM.D.
6914 SIR PALLEAS
CORPUS CHRISTI, TX 78413-5303
Phone number: