Individual
DR. TASHA N.S.W. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-4281
Mailing address
3095 ALA ILIMA ST, APARTMENT 406, HONOLULU, HI 96818-2786
(808) 389-1478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00071841
WA
183500000X
Pharmacist
Primary
PH 2919
HI
Other
Enumeration date
08/31/2009
Last updated
05/17/2012
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