Individual
DR. ERIC BRUCE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
330 LEBBY ST, PELZER, SC 29669-1758
(864) 947-9214
Mailing address
6 KORBEL CT, MAULDIN, SC 29662-2864
(814) 207-9330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13913
SC
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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