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MICHELLE WAGER RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1073117057
Individual Registrant: MICHELLE WAGER RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
15622 N SR 79 EDINBURGH, IN 46124 US
Tel: 812-526-2487 Fax: --
Tel: 812-526-2487 Fax: --
Contact information for business:
PO BOX 207 EDINBURGH, IN 46124-0207 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1073117057
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | IN | 26019403A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
