Individual
ANDREAS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
214 HARVARD AVE, ALLSTON, MA 02134-4619
(617) 277-7080
(617) 264-4951
Mailing address
214 HARVARD AVE, ALLSTON, MA 02134-4619
(617) 277-7080
(617) 264-4951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241659
MA
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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