Individual provider · Type 1 NPI
Steven Lyle Wagner
Pharmacist · Washington Park, IL
Practice location
1833 Kingshighway
Washington Park, IL 62204
Fax (618) 674-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051031829 (IL) |
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…
4 other providers at this address
Other pharmacist providers in Washington Park
About NPI 1679460778
Steven Lyle Wagner's National Provider Identifier is 1679460778, issued on Jun 20, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Washington Park, IL. The record was last updated on Jun 20, 2025.