Organization
WAGNER DRUGS, INC.
Active
Other names
WAGNER'S MOUNT IDA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYNN WAGNER (OWNER)
(870) 867-2812
Entity
Organization
Contact information
Practice address
744 HWY 270 EAST, MOUNT IDA, AR 71957
(870) 867-2812
(870) 867-2033
Mailing address
PO BOX 66, MOUNT IDA, AR 71957-0066
(479) 243-6169
(870) 867-2033
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
AR15934
AR
Other
Enumeration date
06/08/2016
Last updated
11/05/2021
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