Individual provider · Type 1 NPI

Nicole Kristin Wagner, RPH

Pharmacist · Fort Myers Beach, FL

NPI number 1114562097 Active

Practice location

17105 San Carlos Blvd
Fort Myers Beach, FL 33931-5305

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PS29977 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1114562097

Nicole Kristin Wagner, RPH's National Provider Identifier is 1114562097, issued on Nov 14, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Myers Beach, FL. The record was last updated on Nov 14, 2019.