Individual
CHRISTOPHER CHAD WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
722 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3574
(336) 789-9006
(336) 789-0537
Mailing address
722 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3574
(336) 789-9006
(336) 789-0537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12706
NC
Other
Enumeration date
01/01/2012
Last updated
01/01/2012
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