# NORA WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891338463
- **Gender:** F
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHA.0024677 | CO | Yes |
| 3336C0003X | Community/Retail Pharmacy | 80861 | CA | — |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 09/16/2025