Individual
SARAH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 BAY RIDGE RD, ANNAPOLIS, MD 21403-3934
(410) 268-7688
Mailing address
1903 TOWNE CENTRE BLVD, #239, ANNAPOLIS, MD 21401-3179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23514
MD
183500000X
Pharmacist
RP450115
PA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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