Brian Lee Wagoner, PHARM D.
Pharmacist · Midwest City, OK
Practice location
1605 Mark Wood StMidwest City, OK 73130-8454
- Phone
- (405) 605-9956
NPI record
- NPI
- 1609165752
- Entity type
- Individual (Type 1)
- Enumeration date
- March 29, 2011
- Last updated
- March 29, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
14782 | OK |
About Dr. Wagoner
Brian Lee Wagoner, PHARM D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1605 Mark Wood St, Midwest City, OK 73130-8454. The NPI number 1609165752 was assigned on March 29, 2011 and the record was last updated on March 29, 2011.
Dr. Wagoner lists a license in the registry: #14782 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brian Lee Wagoner, PHARM D.?
The NPI number is 1609165752.
What is the phone number of Dr. Wagoner?
The phone number listed for the practice location is (405) 605-9956.
Where is Dr. Wagoner located?
1605 Mark Wood St, Midwest City, OK 73130-8454.
What is the taxonomy code for Dr. Wagoner?
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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