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1962874529
EMILY WAGNER
IRMO, SC
NPI
1962874529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 36392)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- EMILY WAGNER
1008 LAKE MURRAY BLVD
IRMO, SC 29063-2821
Phone number: 803-749-3843
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Mailing Address
-- EMILY WAGNER
1008 LAKE MURRAY BLVD
IRMO, SC 29063-2821
Phone number: 803-749-3843
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