Individual
JESSICA ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD, BCPS
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4772
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4772
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03442632
OH
Other
Enumeration date
08/05/2017
Last updated
09/12/2025
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