Wagner, Jeremy

Wagner, Jeremy is an sole proprietor health care provider with primary practice located at 2000 S Douglas Hwy , Gillette WY 82718-5414. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wagner, Jeremy can be contacted via phone (307) 682-4517.

Contact Information

Primary practice address
2000 S Douglas Hwy Gillette WY 82718-5414
Phone: (307) 682-4517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3549 Wyoming

Profile Details

NPI number 1457606378
LBN Legal business name Wagner, Jeremy
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2012
Last updated Jul 17th, 2012 - about 14 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.

Request for update

Popular Providers