Individual
JILL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3310
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03228267-2
OH
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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