Wagner Pharmacy

Pharmacist · Aledo, IL

Organization Active NPI

NPI number 1356356927

Practice location

108 N College Ave
Aledo, IL 61231-1519
Phone
(309) 582-5678
Fax
(309) 582-5679

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NPI record

NPI
1356356927
Entity type
Organization (Type 2)
Enumeration date
July 30, 2006
Last updated
April 20, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X — IL

Authorized official

Name
Gary R Wagner, RPH
Title
Pharmacist
Phone
(309) 582-5678

About Wagner Pharmacy

Wagner Pharmacy is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 108 N College Ave, Aledo, IL 61231-1519. The NPI number 1356356927 was assigned on July 30, 2006 and the record was last updated on April 20, 2008.

The authorized official for this organization is Gary R Wagner, RPH, Pharmacist.

Frequently asked questions

What is the NPI number of Wagner Pharmacy?

The NPI number is 1356356927.

What is the phone number of Wagner Pharmacy?

The phone number listed for the practice location is (309) 582-5678.

Where is Wagner Pharmacy located?

108 N College Ave, Aledo, IL 61231-1519.

What is the taxonomy code for Wagner Pharmacy?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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