Individual
CARMEN TERESA WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
76 PIKE ST, PORT JERVIS, NY 12771-1827
(845) 856-8342
Mailing address
49 ZINNIA DR, PO BOX 368, GLENWOOD, NJ 07418-1634
(973) 764-1628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039730
NY
183500000X
Pharmacist
28RI02879500
NJ
Other
Enumeration date
05/05/2007
Last updated
01/24/2023
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