Individual
BROOKE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 STATE ROUTE 141, IRONTON, OH 45638-5213
(740) 533-9215
Mailing address
9543 STATE ROUTE 141, KITTS HILL, OH 45645-8648
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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