Individual
MICHELLE WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15622 N SR 79, EDINBURGH, IN 46124
(812) 526-2487
Mailing address
PO BOX 207, EDINBURGH, IN 46124-0207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019403A
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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