Shane R. Wagner, PHARMD

Pharmacist · Beverly, OH

Individual Active NPI

NPI number 1922627132

Practice location

501 Dietz Lane
Beverly, OH 45715
Phone
(740) 984-2305

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NPI record

NPI
1922627132
Entity type
Individual (Type 1)
Enumeration date
April 9, 2020
Last updated
April 9, 2020
Certified
April 9, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 03232855 OH

Mailing address

717 Mitchell Ave
Beverly, OH 45715-8942
Phone
(740) 236-2164

About Dr. Wagner

Shane R. Wagner, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 501 Dietz Lane, Beverly, OH 45715. The NPI number 1922627132 was assigned on April 9, 2020 and the record was last updated on April 9, 2020.

Dr. Wagner lists a license in the registry: #03232855 (OH) 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 Shane R. Wagner, PHARMD?

The NPI number is 1922627132.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (740) 984-2305.

Where is Dr. Wagner located?

501 Dietz Lane, Beverly, OH 45715.

What is the taxonomy code for Dr. Wagner?

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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