Individual
RACHEL WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
1001 E MAIN ST, YUKON, OK 73099-2137
(405) 577-0051
(405) 577-0053
Mailing address
1001 E MAIN ST, YUKON, OK 73099-2137
(405) 577-0051
(405) 577-0053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14963
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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