# WAGNER DRUGS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WAGNER'S MOUNT IDA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619326881
- **Authorized official:** LAURA LYNN WAGNER (OWNER)
- **Authorized official phone:** (870) 867-2812

## Contact information

- **Practice address:** 744 HWY 270 EAST, MOUNT IDA, AR 71957
- **Practice address phone:** (870) 867-2812
- **Practice address fax:** (870) 867-2033
- **Mailing address:** PO BOX 66, MOUNT IDA, AR 71957-0066
- **Mailing address phone:** (479) 243-6169
- **Mailing address fax:** (870) 867-2033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | AR15934 | AR | Yes |

## Other

- **Enumeration date:** 06/08/2016
- **Last updated:** 11/05/2021