Wagner, Daren

Wagner, Daren is an sole proprietor health care provider with primary practice located at 411 N Main St , Moscow ID 83843-2630. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wagner, Daren can be contacted via phone (208) 882-0900.

Contact Information

Primary practice address
411 N Main St Moscow ID 83843-2630
Phone: (208) 882-0900
Fax: (208) 883-1407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P4858 Idaho

Profile Details

NPI number 1497035539
LBN Legal business name Wagner, Daren
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2011
Last updated Aug 21st, 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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