Individual
STACY J WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
500 SUMMIT BLVD, BROOMFIELD, CO 80021-8219
(720) 517-1153
Mailing address
500 SUMMIT BLVD, BROOMFIELD, CO 80021-8219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19455
CO
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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