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VERONICA ELLENMARIE WAGNER
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1952947640
Individual Registrant: VERONICA ELLENMARIE WAGNER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2190 GILMER AVE TALLASSEE, AL 36078-7123 US
Tel: 334-283-6841 Fax: --
Tel: 334-283-6841 Fax: --
Contact information for business:
1402 PIEDMONT DR AUBURN, AL 36830-0273 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1952947640
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AL | 16838 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
