Organization
WAGNERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE WAGNER II RPH (OWNER/PRESIDENT)
(502) 375-3800
Entity
Organization
Contact information
Practice address
3113 S 4TH ST, LOUISVILLE, KY 40214-1710
(502) 375-3800
(502) 375-0085
Mailing address
3113 S 4TH ST, LOUISVILLE, KY 40214-1710
(502) 375-3800
(502) 375-0085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005805
KY
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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