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VERONICA ELLENMARIE WAGNER

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1952947640

Individual Registrant:
 VERONICA ELLENMARIE WAGNER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2190 GILMER AVE  TALLASSEE, AL 36078-7123 US
Tel: 334-283-6841  Fax: --

Contact information for business:
1402 PIEDMONT DR  AUBURN, AL 36830-0273 US
Tel: --  Fax: --

Registration Information:
NPI: 1952947640
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL16838

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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