Individual
MEGAN M WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1708 DELL RANGE BLVD, CHEYENNE, WY 82009-4945
(307) 829-3118
Mailing address
5523 LAWRENCE LN UNIT B, CHEYENNE, WY 82009-3762
(307) 760-9680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4411
WY
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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