Individual
ZACH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 S 3RD ST, MOVILLE, IA 51039-2009
(712) 873-3401
Mailing address
528 S 3RD ST, MOVILLE, IA 51039-2009
(712) 873-3401
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
6509
IA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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