Individual
LAWRENCE A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4320 WORNALL RD STE 128, KANSAS CITY, MO 64111-5949
(816) 932-2688
(816) 932-8126
Mailing address
4320 WORNALL RD STE 128, KANSAS CITY, MO 64111-5949
(816) 932-2688
(816) 932-8126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10995
KS
183500000X
Pharmacist
Primary
2013005453
MO
Other
Enumeration date
02/10/2021
Last updated
02/22/2021
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