Individual
HARRY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(785) 213-6089
Mailing address
505 MEADOWLARK LN, NEWTON, KS 67114-5601
(785) 213-6089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12219
KS
183500000X
Pharmacist
8125
NV
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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