Individual
DR. ANDREW WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
302 VALLEY HI DR, SAN ANTONIO, TX 78227-4602
(210) 674-3710
Mailing address
302 VALLEY HI DR, SAN ANTONIO, TX 78227-4602
(210) 674-3710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56550
TX
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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