Individual
MRS. KARIN MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
446 S WASHINGTON AVE, KANKAKEE, IL 60901-3744
(815) 935-2041
(815) 935-5819
Mailing address
446 S WASHINGTON AVE, KANKAKEE, IL 60901-3744
(815) 935-2041
(815) 935-5819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51289690
IL
Other
Enumeration date
07/28/2007
Last updated
07/28/2007
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