Individual
SETH ALLEN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1749 WOODSTONE DR, SAINT PETERS, MO 63376-7404
(636) 447-1229
Mailing address
2300 HIGHWAY K, O FALLON, MO 63368-6661
(636) 379-1918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051297649
IL
183500000X
Pharmacist
Primary
2016007951
MO
Other
Enumeration date
05/03/2021
Last updated
09/06/2023
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