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1982276366
GARRISON SCOTT WAGNER
BENTON, KY
NPI
1982276366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 022065)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
GARRISON SCOTT WAGNER PharmD
817 MAIN ST
BENTON, KY 42025-1240
Phone number: 270-527-9374
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Mailing Address
GARRISON SCOTT WAGNER PharmD
817 MAIN ST
BENTON, KY 42025-1240
Phone number: 127-052-7937
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