Individual
VERONICA ELLENMARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2190 GILMER AVE, TALLASSEE, AL 36078-7123
(334) 283-6841
Mailing address
1402 PIEDMONT DR, AUBURN, AL 36830-0273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16838
AL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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