Wagner, Stacey

Wagner, Stacey is an sole proprietor health care provider with primary practice located at 3001 Broadway Ave , Yankton SD 57078-4890. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wagner, Stacey can be contacted via phone (605) 665-8197.

Contact Information

Primary practice address
3001 Broadway Ave Yankton SD 57078-4890
Phone: (605) 665-8197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X R6534 South Dakota

Profile Details

NPI number 1801497482
LBN Legal business name Wagner, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2020
Last updated Nov 2nd, 2020 - about 6 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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