Individual
ADAM WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2171 HARTLY CIR, REDDING, CA 96003-9045
(530) 356-2346
Mailing address
2171 HARTLY CIR, REDDING, CA 96003-9045
(530) 356-2346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60376907
WA
183500000X
Pharmacist
PI0011668
OR
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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