Individual
BRIANNA WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 LEE ST RM 1407, CHARLOTTESVILLE, VA 22908-0817
(434) 924-2390
Mailing address
2949 BARTERBROOK RD, STAUNTON, VA 24401-6830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202223737
VA
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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