Individual
ERICH MARTIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
17850 GARLAND GROH BLVD, HAGERSTOWN, MD 21740-1944
(301) 714-1377
(301) 766-0718
Mailing address
17850 GARLAND GROH BLVD, HAGERSTOWN, MD 21740-1944
(301) 714-1377
(301) 766-0718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14990
MD
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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