Individual
SCOTT WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1018 ROSEMONT, CARMEL, IN 46032-7709
(317) 409-9625
Mailing address
1018 ROSEMONT, CARMEL, IN 46032-7709
(317) 409-9625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9688
NE
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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