Individual
ERIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 W 2ND ST, KINGSLEY, IA 51028-7751
(712) 378-2700
Mailing address
5316 E POP FLY PL, SIOUX FALLS, SD 57110-4700
(605) 759-6718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6567
SD
Other
Enumeration date
06/20/2018
Last updated
09/24/2018
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