Individual
CAROL WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1850 RIDGEWOOD AVE, HOLLY HILL, FL 32117-1738
(386) 677-9495
Mailing address
1322 PUP FISH LN, DELAND, FL 32724-4691
(386) 279-3283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34367
FL
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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