Individual
DR. ZACHARY ALEXANDER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
711 MARTIN LUTHER KING JR BLVD, ASHLAND, KY 41101-2668
(606) 324-7119
Mailing address
2438 CLINTON ST, ASHLAND, KY 41101-4506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011722
WV
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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