Individual provider · Type 1 NPI

Jacqueline Estelle Letourneau-Wagner, PharmD

Pharmacist · Moreno Valley, CA

NPI number 1891099339 Active

Practice location

26520 Cactus Ave, Riverside County Regional Medical Center
Moreno Valley, CA 92555-3927

Fax (951) 486-4475

Mailing address

7900 Limonite Ave, G168
Riverside, CA 92509-6125

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X51117 (CA)
Pharmacist 183500000X14824 (NV)

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 1891099339

Jacqueline Estelle Letourneau-Wagner, PharmD's National Provider Identifier is 1891099339, issued on Dec 25, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Moreno Valley, CA. The record was last updated on Dec 25, 2010.