Individual provider · Type 1 NPI

Jeremy Wagner, PharmD

Pharmacist · Gillette, WY

NPI number 1457606378 Active

Practice location

2000 S Douglas Hwy
Gillette, WY 82718-5414

Mailing address

PO Box 667
Moorcroft, WY 82721-0667

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X3549 (WY)

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 1457606378

Jeremy Wagner, PharmD's National Provider Identifier is 1457606378, issued on Jul 17, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gillette, WY. The record was last updated on Jul 17, 2012.