Individual
KALEIGH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
7000 UULA ST, BARROW, AK 99723
(239) 777-3329
Mailing address
5291 MAHOGANY RIDGE DR, NAPLES, FL 34119-2531
(239) 777-3329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
113652
AK
183500000X
Pharmacist
Primary
PS54214
FL
Other
Enumeration date
11/21/2016
Last updated
11/22/2016
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