Individual provider · Type 1 NPI

Justin Wagner

Pharmacist · Gallup, NM

NPI number 1245647700 Active

Practice location

1650 W Maloney Ave
Gallup, NM 87301-3305

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP00007923 (NM)
Pharmacist 183500000X13889 (NV)
Pharmacist 183500000X18855 (IA)

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…

3 other providers at this address

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About NPI 1245647700

Justin Wagner's National Provider Identifier is 1245647700, issued on Jul 16, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gallup, NM. The record was last updated on Jul 16, 2014.