Individual
AMANDA NICHOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
2700 8TH ST NW, MINOT, ND 58703-0652
(701) 852-0388
Mailing address
2700 8TH ST NW, MINOT, ND 58703-0652
(701) 852-0388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5010
ND
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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