Wagner, Brian Edwin
Wagner, Brian Edwin is an individual health care provider with primary practice located at 1616 Black River Blvd N , Rome NY 13440-3609. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wagner, Brian Edwin can be contacted via phone (315) 339-5290.Contact Information
Primary practice address
1616 Black River Blvd N
Rome NY 13440-3609
Phone: (315) 339-5290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 20 051145 | New York |
Profile Details
| NPI number | 1811177751 |
|---|---|
| LBN Legal business name | Wagner, Brian Edwin |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Apr 26th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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