Individual
BRICE ALAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
205 HOSPITAL DRIVE, MCKENZIE, TN 38201
(731) 352-0820
(731) 352-2848
Mailing address
205 HOSPITAL DRIVE, MCKENZIE, TN 38201
(731) 352-0820
(731) 352-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48094
TN
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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