Individual
DR. JENNIFER MIN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D, MBA, RPH
Contact information
Practice address
1798 OLD STAGE RD, DECORAH, IA 52101-7497
(563) 382-8456
Mailing address
3909 SUNNYDALE LN SE, ROCHESTER, MN 55904-3922
(605) 464-1634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23241
IA
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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