Individual
LEEZA M WAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6402 GOLDEN RING RD, ROSEDALE, MD 21237-2010
(410) 866-2500
(410) 866-6486
Mailing address
6402 GOLDEN RING RD, ROSEDALE, MD 21237-2010
(410) 866-2500
(410) 866-6486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17137
MD
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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