Individual
SHERYL M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3013 GREENMOUNT AVE, BALTIMORE, MD 21218-3939
(443) 872-7794
(410) 467-6040
Mailing address
1630 BANK ST, APT 2, BALTIMORE, MD 21231-2318
(410) 467-6040
(410) 467-2448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16524
MD
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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