Norma Linda Wagner RPH

NPI 1366623555 - Pharmacist - 1835P1200X

NPI Details
NPI 1366623555
Gender Female
Enumeration Date 11/16/2007
Last Updated 11/16/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
13460 S RTE 59
PLAINFIELD IL, 60585-5270, US
Phone (815) 577-2616
Fax (815) 577-2618
Business Location
13460 SOUTH RT 59
Phone (815) 577-2616
Fax (815) 577-2618
Taxonomy Code 1835P1200X
License State Illinois
License Number 051040790
Remove 1366623555 NPI Number

According to our database, Norma Linda Wagner RPH NPI is 1366623555, taxonomy code is 1835P1200X and license number is 051040790, license state is located at Illinois. Norma Linda Wagner RPH physically located at 13460 S Rte 59, Plainfield IL, 60585-5270. NPI Number Norma Linda Wagner RPH has the Individual type.

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1366623555 NPI number is provided on an as is basis without warranty of any kind. 1366623555 is maintained by the National Plan & Provider Enumeration System. The contents of Norma Linda Wagner RPH are for informational purposes only.