Individual
HEATHER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2002 STAFFORD RD, PLAINFIELD, IN 46168-2167
(317) 839-6561
(317) 839-6781
Mailing address
2002 STAFFORD RD, PLAINFIELD, IN 46168-2167
(317) 839-6561
(317) 839-6781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017900A
IN
183500000X
Pharmacist
PS39176
FL
Other
Enumeration date
08/27/2006
Last updated
06/01/2016
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