Individual
MRS. JOSEPHINE MARGARET WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
50 S MAIN ST, PETERSBURG, WV 26847-1728
(304) 257-2072
(304) 257-1506
Mailing address
50 S MAIN ST, PETERSBURG, WV 26847-1728
(304) 257-2072
(304) 257-1506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005399
WV
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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