Individual
DR. MARIANNA CRISTINA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
721 US HIGHWAY 321 BYP S, WINNSBORO, SC 29180-6326
(803) 712-9299
(803) 635-7775
Mailing address
721 US HIGHWAY 321 BYP S, WINNSBORO, SC 29180-6326
(803) 712-9299
(803) 635-7775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12712
SC
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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