Individual
TRINITY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5301 W 38TH AVE, WHEAT RIDGE, CO 80212-7058
(303) 425-7455
Mailing address
5301 W 38TH AVE, WHEAT RIDGE, CO 80212-7058
(303) 425-7455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24119
CO
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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