Individual
MRS. BETH SCHUCKMAN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
702 BARNHILL DR, INDIANAPOLIS, IN 46202-5128
(317) 274-2335
Mailing address
4371 BRITTANY DR, ZIONSVILLE, IN 46077-8226
(317) 873-4357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017342A
IN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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