Individual provider · Type 1 NPI
Keith Aloysius Wagner, PharmD
Pharmacist · Augusta, GA
Practice location
950 15th St Rm 1C-104C
Augusta, GA 30901-2608
Mailing address
807 Windsor Ct
Augusta, GA 30909-3477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 33877 (TX) |
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 1760958300
Keith Aloysius Wagner, PharmD's National Provider Identifier is 1760958300, issued on Oct 22, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Augusta, GA. The record was last updated on Oct 22, 2018.