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Organization
WAGNER DRUGS, INC.
Active
Organization
WAGNER DRUGS, INC.
Active
Other names
WAGNER'S MOUNT IDA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYNN WAGNER (OWNER)
(870) 867-2812
Entity
Organization
Contact information
Practice address
744 HWY 270 EAST, MOUNT IDA, AR 71957
(870) 867-2812
(870) 867-2033
Mailing address
PO BOX 66, MOUNT IDA, AR 71957-0066
(479) 243-6169
(870) 867-2033
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
AR15934
AR
Other
Enumeration date
06/08/2016
Last updated
11/05/2021
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