Paige Nicole Wagner, Pharm D
Pharmacist in Louisville, KY. Individual provider (NPI-1).
NPI number1982113064
StatusActive
Last updated in NPPESSep 21, 2017
Details
- NPI
- 1982113064
- Entity type
- Individual (NPI-1)
- Name
- Paige Nicole Wagner
- Credential
- Pharm D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2017
- Last updated
- Sep 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 019446 | KY | Yes |
Practice location
7101 Cedar Springs BlvdLouisville, KY 40291-2587
Phone 502-231-6867
Mailing address
7101 Cedar Springs BlvdLouisville, KY 40291-2587
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