Individual provider · Type 1 NPI

Brenda Wagoner

Pharmacist · New Haven, CT

NPI number 1285299602 Active

Practice location

215 Whalley Ave
New Haven, CT 06511-3205

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPCT.0011050 (CT)

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 1285299602

Brenda Wagoner's National Provider Identifier is 1285299602, issued on May 1, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New Haven, CT. The record was last updated on May 1, 2019.